1981, 02-09 Permit: 80-9403 InspectIFLAN NUMMI
APPLICATIODUPEREANT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Ell JEFFERSON / SPOKANE, WASHINGTON 99000 / 160914663035
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
OD ADDRESS
AT I BLUER !SUEDIVIrS1UN
LEGAL DESCRIPTION — SEE ATTACHED
ARCEL NUMBER/5
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.5DDRES
PHONE
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l
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Actual Sel Back,
North South Lo
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ADDRESS
R.ts<1/�
376.•i
1
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DESIGNER29 /Y ryf4
2 )
%,eD /
Typo Conal. Occupancy Sprinklerao
I 0Yes 0Nn 0 Rep,
E ADORERS
ONE
Valuation . Building Area In 50. Ft.
ZIP
Main Floor I Upper Floor Ge rage Ana I Storage
8• r
%. VFZ 0 NEN0 ALT. 0 AWN. DLRPL 0 MVE.
WORK 0 DLO. 0 PLIAS. Ia.MECH. 0 M.W. 0 POOL
Id.
DBScgIgE WORK
VALU TIB URGE
(UTILITIES
0 OTHER
Area of Deeks I Finished Basement I Unfln. Basement
No. Baths I No. Morin I No. Rooms INo. of Dwellings
CERTIFICATE IJI
of EXEMPTION
LCUi -e .0' LRC Ei
ELECTRIC WATER SEWER
Enum. Din. Loudon (Areal
ermlp USE CODE
Pu llc °Private ❑
hereby certify that I haon read and examined this apple:ahoo end boon lend the "NOTI,.I oiovisions included
on reverse side, and know the same to be 110e and correct Ali 100.61011 01 laws enl, ni:hnances gueernulg tin
tYPe 01 work will be complied with whethe, specified here. or not. i,iv ,prancing 01 • P••.ini dm, not presume
to give authority to violate or cancel the provisions ui any ouwl state or local law ,epuialmp sunstructmn or the
performance of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS ///�
DATE OF APPLICATION 57.:Z. Q �O
-510NATURE Ur APP.LiCANTe2iL //6ri�/� 3
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME E
Gw. Health
Planning
eM
F� n
41
ans Examiner
FEES COLLECTED
Singl S
Bpilding
Plumbing
`00
Meek.
Pion Chock
SEPA
Mobile Home
Other ISPonity1
TOTAL S
Gri r9U-RD3
0110
A
94022
09-02-80
2 6479,
• 9.0pp
•9.090.
6000 8
WHEN MIALI.INE VALIDA rF,I IN 7111552006.
TH15 RR:ONUS ALE Re111
OWNER
INSPECTION RECORD
LOCATION
CONTRACTOR TYPE OF WORK
NSEW FINAL INSPECTION:
SET BACKS
DATE REMARKS: