1980, 08-19 Permit: 80-8296 Inspecta.o
ftazolt
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: /A - -J Pieta-
DATE REMARKS:`
/J--1
d d
MaR NUM9IIR
8/9/8v
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH el l JEFFERSON / SPOKANE, WASHINGTON eepso / MOW 4565075
APPLICANT: COMPLETE NUM
JOS ADDRESS
DD S
ACES — PRESS HARD TO MAKE 3 COPIES
UMW A.Ait'Nf-POIMLIIMI111111
• 1
RESS
DEfWINER
PHONE
ZIP
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMsER/S / 7d — j<s
SLUT SL ,Cd.iXL
S. or Pycal /
3'. /08
Type Co.. OwPWRICy prinMNrW
❑Vet ONO 0 Rep,.
Valuation sonoinp Arm / In S0. Ft.
Area SN
ste P.
main Upper pa / 70'
Arm of Decks FP... Enema. Unfln. Basement
AD
ZIP
.CNANO[ OF USE FROM TO
I E.
'VP. 0 NSW 0 ALT. JR AWN. 0 RPL. 0 AWE.
T WOnH 0 BLO. 0 PI-ME. 0 M[CH. 0 M.N. 0 POOL
— y
O�ACRR •S,W�11 N
fOURC[ GA "TRIG
UT�TI
9.
0 OTHER
o.
No, S
o. Roo ma No of Dwelllne
CERTIFICATE
of EXEMPTION
[num. DIR. !Location (A.1
WATER I SEWER Own•rMle Ufa CODS
Public 0 Private IX I
Rm'd.
I hereby certify that I have reed end examined thle application and have lead the "NOTICE" provisions included
on ravens std, and know the same to be true and correct. All provisions of laws end oidinances governing this
type of work will be compiled with whether spwifled herein of COL. The granting of a pMmlt does not presume
to give authority to violets or oencei the provisions of any other alto or local law re ng construction or the
performincs of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS i
DATE • OF APPLICATION O� -T—�d SIONATURE OF APPLICANT %�iI�Vlew4y
SPECIAL APPROVALS
NAME DATE
Env, Health
WannIn.
afr/
Co. Erwin.
Ltmdm
ts.
U ECIAL CONDITIOFMI
7.e- .014.44.4.-,
RP c E MR. d.
FEES COLLECTED
SIMla s
B[IMIng e{eir
Numbing
Mach.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL sib_
02.
8295d
08 —b8 .-80
0 6679.
•2650
•2650
•26508
'•000 5