1979, 12-03 Permit: 79-8630 Inspection CardINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W
SET BACKS
FINAL INSPECTION: 12_ "7 - 79 PAY--
DATE REMARKS:
/2 1-7 % NA -4, 19k 1-421LiU-
d/
LAN NUMBER
APPLIGA 0/ YtIIMIT
SPOKANE COUNTY — BL. ,ING CODES DEPARTMENT
NORTH all JEFFERSON / SPOKANE, WASHINGTON 99260 / 16091 466.2976
APPLICANT COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
2' LOT I BLOCK SUBDIVISION
3 DOOR ,`I' wive!,
SBIRI sf i9r/Ade
• "7 164
f ry� J
DESIGNER
1_' "w �1-t"i
6.
Lr
LIP
LEGAL DESCRIPTION — SEE ATTACHED
ONE
a44G
en ed et B,e M
Sim of 00(00 Feat
South ast eRRlnn.elm�
oftn
ZIP
ICo
pHoNE
Occupanc
Valuation
Dyes ONo SprrinklD ,
,p
Building Area In SA. Ft.
ip
Ca ag• Area
torage
CHANGE OF USE FRO
6.
Split Ent
pin Level
Randle
NEW ❑ ALT. ❑ AWN. ❑ RPL. ❑ MVE.
• Z„ ❑ OLD. ❑ PLM W e. ECH: ❑ M.N. ❑ POOL ❑ OTHER
No. Baths
No. Rooms
CERTIFICATE
of EXEMPTION
•
DESCRIBE WORK
6. vALDATIOI - -' Ir• TUK OAS
9.
E 501 pao' LEC RI< II WATER ER
SEWER
I hereby certify that I have lead and examined this applICalion and have ead the "NOT if ovistonS included
on e side, and know the same to be true and c eel Ali pinoIsions of laws and nirlinances governing this
type 01 work will he complied with whether specllied herein le riot. The gra. - I19 a .. I^ lin I 000 no °some
u
10 give authority to vi Orate or cancel the provisions Of any nther :* D *law ulil�n l;;,pF fir•: •n or the
performance of construe ion. ��
DATE/ SIGNATURE �� �.,"
YSCIAL APPROVALS
D EPT. RE0'D. Reel°,
Env. NURh
P lane nil
rite Harms
Co Engine.
UHlbm
Zona Clnnnes
SEPA Cn•cklIE
YSCIAL CONDITIONS,
dn{( Hen c -3.063- 3,20.786
DATE OFFICIAL:
FEES COLLECTED
Singl•
Building
Plumbing
Mach,
Plan Cheek
SSPA
Mobile Name
Other lSp•elfyl
TOTAL $
DATE
04• .9.00
+9.00 0
•9008
P
•000 8
86292
12 -03 -79
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
12_03 -7,91 8'6709
R9,008�
Pim