1980, 07-15 Permit: 80-2966 Inspection CardINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W
SET BACKS
FINAL INSPECTION: /6. Z- j
DATE REMARKS:
e , 6 fii z er Ihs- 4 1/ 0 7;? i - (ZPta/!ek_ 14
gee r/Ye
• .!.N NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY BUILDING CODES DEPARTMENT
NORTH et. JEFFERSON r SPOKANE, WASHINGTON REaeo i 15091 4511.01575
APPLICANT: COMPLETE NUMBERED SPACES — PRESS IIARD TO MAKE 4 COPIES
° JOB ADDRESS
1 E. ll A Rd.
.
LEGAL DESCRIPTION — SEE ATTACHED
LOT I eLOL DLR 'SU aueorvlsran
2.
PARCEL NUMeERrs
OWNER
Jerry J. Hiller
PHONE
928-8472
' a
ASeme
T
99206
�`
Required sot eicl oumeet Iw,
CONTRACTOR
Water Service Co.
PHONE
4_55 -8050
Ste of Parcel ono Clen... ionrl
q
t ADDRESS
E. 25 Third Ave
94202
Typo Con. 1 DaaP. 0 swlnklWw
Dye. ONo 0 o.00.
DESIGNER
S.
PHONE
V.luanon a uiNing AM& In Sq. Fl.
ADDRESS
2
DWL Ara. Ieelamanl Area Garagg AI. I ator•Pq
CHANGE OF USE FROM ITO
Spilt Entry WC Level Rancher
P E NEW 0 ALT. AD'N. ❑ RPL. ❑ MVF.
7. O LI OTHER
10
WORK 0 ILO. PLUS. 0 MECH: 0 M.H. 0 POOL
No. Sian, I No. Floor. I N. Rooms I Reo. Room
I71` tl i
CERTIFICATE . I Am d. PJ*1 A.1 d.
of EXEMPTION
DESCRIBE WORN .._
a Water Softener
FEES COLLECTED
Sinai $
VALUATION RNLI_ Uloi N. I OAS I ELECTRIC WATER I SEWER
I hereby c rOly that I have read and examined this application
reverse on side, and know the same to be true and correct.
type of work will be complied with whether specified herein
to give authority to violate or cancel IFi liosisions of any
performance of construction.
-and have read the . "NOTICE" provisions included
All provisions of laws and ordinances governing this
G not. The granting of a permit does not presume
other state or local law regulating construction or the
Soft - Water Service Co-.
Building
Plumbing
Mack.
DATE 325180 _— SIGNATURE
PI Ch k
SPECIAL APPROVALS
D PT. OE0'D. AEC O.
SPECIAL CONDITIONS:
Env. Hulth
SEPA
Planning
M DI Ho
FIk• Moranall
Other (Specify)
00.. 0091nn,
utllitut
TOTAL S
IxRANUMR 6,
DATE
03• •300
•300 k
•3008
E •000 8
29652
04 -01 -80
2 6479.