1980, 03-05 Permit: 80-396 InspectionINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF ORK
%/` eG����
FINAL INSPECTION:
DATE
REMARKS:
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE. WASHINGTON SI60 / I60a1456.]13)6
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
B
ASS
DBF 185
8
LOT LOCH DIVISION
2
OWE 2 , PHONE
3. V
ADDRr A `Es I zIP
CONTRACTOR -.PHONE
a. cLQR 1 m s+8 $aSd-
A ADDRESS r1Yl fl'›aCC1
DESIGNER
5
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
RaaPlre6 Sat Bar lut^
Site of Parcel
East GIe..IRte I e
Type Cons, 00cUMn
Valuation
sprbbereo
DYe. Ono 0 R
BM ns Area In SR. Flail
ADDRESS
CHANGE OF USE FROM
ITo
CI‘PL Area
Basement Are
am A
Split Entr
pill Level
St RIM
Rancher
TYPE .j9eesEW 0 ALT. 0 AD'S. 0 RPL. 0 MVE.
'. WORK 0 OLD. 0 PLUM ,$q..LEIECH. 0 M.H. 0 POOL ❑ OTHER
a v
DESCRIBE WORN
VAL�TION
No. Bath
No. Floo
No. Roo
F.C. Room
CERTIFICATE
of EXEMPTION
ReA0. IMF A.
Sourte
Ulllltlas
3A5 ELECTRIC
X
WATER SEWER
I hereby certify that I have read and examined this application and have lead the "NOT ILL" envisions Included
side, and know the sNne to be true and correct. All provisions of laws eel „i deiaiices governing this
type of work will be complied with whether specified herein or not. The granting of a pe net does not presume
to give authority to violate or cancel the provisions of any other st le or local law regulates Construction arthe
performance of construct Qn.
RATE L I SIGNATURE
DEPT.
SPECIAL APPROVALS
REO'D. RECD.
Env. Halm
Planni
Co. Engineer
Utilities
ionq�uu4pcl
- -_ ® WHEN MACHINE VALIDATED IN IIOIS SPACE.
SEPA Checklist
THIS BECOMES PERM IT ®...
-a1 -B0 OFFICIAL v,Ay.oti PI 2'1 Rn
Tg< Tpslp
SPECIAL CONDITIONS:
FEES COLLECTED
51191. S
Building
Plumbing
Mech. 1�u
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL S l "' rf
DATE
PEP b -13(16
1
04• •7.00
•7.00 n
•7.008
L
•000 8
395d
01 -21 -80
6479.