1980, 03-04 Permit: 80-1778 Inspection CardINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: 9-0 SD F./4
DATE REMARKS: 7L e
j/z/4.
k { (pd urge-% --i(4 ) u ,if- Lr1N ed./44
-(r - / „�-( ��,
SEA
APPLICATION/ PrKKRRI 1
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH CII JEFFERSON / SPOKANE. WASHINGTON 99200 / I609I•65]575
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
t.
JOG ADD
fro-/77g
DATE
02. . Tor P•.•
LEGAL DESCRIPTION — SEE ATTACHED
♦
ADDRESS
c6 T 4ACTDR
AESs
taut
PHONE
Required Soule n »t7' st /o7 S
ohn
stator Parcel
/
IP
Type Conn. OccuP.nw snHnkleree
Ov.. ONO 0 R .
172/60-4
6.
DESIGNER
PHONE
ADDRESS
Building Ft.
OWL Area IR...mentAre. I ;7:171
CHANGE OP USE PROM
6
7, O▪ PPE M NEW 0 ALT. 0 0011. 0 APL. 0 M.. (] OTHER
woRn RIO. 0 PLMI. 0 MECH. 0 M.H. 0 POOL
D as WORN
Split Entry Smlt Level
a. Baths Floo . No. Room. nc.RRp
1 m
CIRTIPICATE
f EXEMPTION
D
ATER
I hereby certify that I have read and rammed this application and have read the "NO I I�_) ,,,,� i Icllided
reverse
on side. and know the s , hoe and c w r
t. All provisnms Ids .n governing this
type of work will he complied with whether specified herein or not. Th.. granting nut nr
to give authority to violate or cancel the provisions of any olhei state or local rI regi• • i r.Instnlchnn or the
performance of conJstruction.
DATE Z-.3--re Si“NATUREJs
SPECIAL APPROVALS
DEPT. REDO. RECD.
Co. EngInmir
Utilities
Zone Clearance
SPECIAL CONDITIONS:
1{,A.a.-�:t6 -n�4,I "-ytL-
PIES COLLECTED
$61016 $
0
Building 3>Q
Plumbing
Mech.
PI Ch k
SEPA
Mobile Home
Other (Specify)
TOTAL �
OTAL S
WHEN MACHINE
.3800 if
1687!
0303'80
6479
3**