1980, 01-03 Permit: 79-9658 Inspection Card•
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR TYPE OF WORK � j/ ��✓
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
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•
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / 8707 ANE, WABHINOTON 88260 / 16081465.8575
APPLICANT, COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
.100 ADDDREESSSS
Z L.'7T I• BL6`K ISUBD�nI/r�_
e
ADDRESS
PHON
�onE Q.
28•- lEt/tZ
stp
DATE /Z —27-77
LEGAL DESCRIPTION — SEE ATTACHED
Roque. Set Back In F.t
Size or Parcel
ut
�Weet
g92o 6
Type Can
Occup
❑yea Ooo kl0 P.M
6.
DESIGNER
PHONE
a on
1.1101. Aram in SF Ft.
ADDRESS
SIP
...meet Ai.
a
TYPE �+y1EW 0 ALT. 0 AD'N. 0 RPL. 0 !AVE.
7. woRH ❑ aLD. AroLMB. 0 MECH. 0 M.H. 0 POOL
I DESCRIBE WORN
a
CHANGE OF USE FRO
TO
Split Ent
0,700 Area I Storm.
SPllt LeVel
Ran
0 OTHER
a. Bathe
o. FlooN
Rec Room
CERTIFICATE
of EXEMPTION
9 VALUATION
so
E
Ew ER
I hereby eel lily that I have reed and examined this ppl' ah ..nid nave lead the N I If.l 1
n •,•,I, i 0ncluded
and know the 1 d correct I t s f : 9vernil this
on reverse type of work, will lie complied itl 1 II .afecified herein The
wanting 1 I
to give authority 10 violate or cancel the nl(WS;OM of anY nth,, stale or toed law
performance of construction.
DATE 1?-2-7-71
SPECIAL APPROVALS
Fire Marshall
Co. Engineer
Utilities
.0 ear .. �\
SEPA Ch•e.ilat
ky
SPECIAL CONDITIONS
SD
/3 -F 2' :32.SO
FEES COLLECTED
Single S
Building �,r
Plumbing 32 -577
Mech.
PI LM1 k
SEPA
Mobl H e �^�
Other (Specify) —]_IL_
reYMi /-
TOTAL S iS /SO
WHEN MACHINE VA
SAl'F1
I2-5T-79 9.6 5,8° •35508.
03• •3550
•3550 %
•35508
0000 8
96574
12 -31479
3 5479.
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