1980, 02-08 Permit: 80-848 InspectionINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK �FINAL INSPECTIO N: � / 2�
L'
DATE
REMARKS:
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�1 siaYR /4%1 -es
/17/ _ S /of 5. Grtl 1 /i/lP 7,.7 2 5" /7 -eGF Z./ G %�%
"NNV eER I APPLICATION/PERMIT Efo."Seen I�
SPOKANE COUNTY—BUILDING CODES DEPARTMENT '— /
NORTH 611 JEFFERSON/SPOKANE,WASHINGTON 99260/1509/aye-acts DATE 144/66
APPLICANT COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 4 COPIES , • •700
oe ADDRESS LEGAL DESCRIPTION-SEE ATTACHED •-
t. OT I B C• I �,t,�t, c:
PARCEL NUMBERS
2.
LOT I BLOCK !SUBDIVISION REO/N ACRES e
OWNER PHONE I "C'1. ._
3. ZOPSET07 STEIN bwcW q 24-5
ADDRESS ZIP Required Set t In Foot
17769 E. gL.KI 4 R.6GN ACRES 48p1(4 North ,a.Iea'Soups .n.cGeamea Ae. ! '-0A-80
4 cLt4N oR PHONE Type cnnst o n - 6474
ADDRESS ZIP ccuP.nce SOrinklereel
❑yes ONO ❑Rend.
DESIGNER PHONE Valuation Building Area In Sy.Ft.
5• ADDRESS ZIP OWL Area easement Area area Area I Storage —
P
CHANGE OF USE FROM ITO Spilt Entry Split Leval I Rancher
6.
NEW ❑ALT. ❑AD'S. ❑RPL ❑MVE. NO Balks Na.Floors Na.Rooms I Rec.0000
' WoRH ❑BLD. ❑PLMB. MECH. ❑M.H. ❑POOL 0 OTHER CERTIFICATE eR d. I Recd. r.,R.R'd.
of EXEMPTION
DSCRIBE WORHJ
8. I•••1 •T 04.., Wool) 5T0 V6 W/ PA AYak.-1 ON 1•••ma•/ FEES COLLECTED
VALUATION Source OAS ELECTRIC WATER SEWER
9. UIIIItiee Single S
I hereby cattily that I have read and examined tins application and have read the"NOTICE'"provisions included
on side•and know the sane to be true and correct.All provisions of laws and ordinances governing this BWMIng
type or u
Id work will be complied with whether specified herein or not.The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or loa regulating construction or the Plumbing
performance'o/f construction. ea /p
DAV J—y_er D SIGNATU#�-'e—/O' .S~�J Medl. 2,00
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REG•D. REC.!, Plan Check
Env.Health SEPA
Piennlne
Elm Marinan Mobile Home
Co.Engineer Other(Sturdy) -
Ines TOTAL $'7. ----4
Zp .pence s
WHEN MACH IN,. VAIInn;,ii:N.,,ir...l
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