1980, 12-11 Permit: P79-9610 InspectionAPPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH B11 JEFFERSON / SPOKANE, WASHINGTON 99260 / 16091 456.3675
JOB AODRES3
1.
LOT I BLOLH
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
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3
OWNE
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4• ADO s
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6.
DESIGNER
HONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER'S
PHONE
EoA4 -Ial-4
P�qq aoa
Required
Parcel
Backs m AU.h F »t C*0T. cl.ran ea II
North ze
Type Const
Occu»n
Valuat on
❑v., ova kH0
'°
Building Area In Sq. Fla
ADDRESS
ZIP
DWI- Ave
Basamant Area
Oarage Area
torage
CHANGE OF UBE FROM ITO
Split Ent
plit Level
TYPE 0 NEW 0 ALT. 0 ADM. 0 RPL. 0 MVE. 0 OT
T' C.' 0 BLo. 0 PLMB. 0 MECH: 0 M.H. 0 POOL
No. Bat
No. Roo
Roc. Roo
CERTIFICATE
of EXEMPTION
eq
R» °. r-
DESCRIBE WORN
8. C fan
VALUATION
91
OMOA ,
ELECTRIC
ATER
ER
hereby certify that l have read and a...nu lied this application and have load the "NU Ic.L yl uws.011s Included
side, and know the s o be Ilne and u t. All nl,Jri',luns 01 laws al �� - es govelnuly 1110
typ`eof work will be complied with whetllal specilied leer I u nc I . The granting 111 ., ntl noes not ylesunlu
to give authority to violate a cancel the plovisiolls'of any o1hel 11.11, nI local law ielhdat nlq construction oI the
performance of CUMtr001IOn.
DATE SIGNATUNI
SPECIAL APPROVALS
NEG'D. REC
Env. Health
alining
PM WHIM!
co. Eng Mer
Utilities
EPA Cnecklht
SPECIAL CONDITIONS:
FEES COLLECTED
Single S.
Building
Plumbing
Mech.
Plan Check
SEPA
Mobil. Home
Oth.r iSP..ilyl
TOTAL S 3S11:1-
D P
! 4
03• •300
•300 tJ
• 30024
•000 8
96094
12-28-7.9
6479.
WHEN MACHINE VAl IDnizi
��,, II INISNEOr1Mf5AnfIIMII
rjl.al'IG Nn. I8 Y -71r�1
9(1+ *00��
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
4440