1980, 08-19 Permit: 79-8931 InspectSPORKANE COUNTY 811 JEFFERSON / SP BUILDING CODES DEPAROKANE, WASHINGTON 99260 / 1509) TMENT
COMPLETE NUMBERED SPACES - PRESS RAIU TO MAKE 4 COPIES
JOIS ss �j
K/:T e
LOT LO SUBDIVISIO
OwNER� /
3. L
AOOREs // d //00..[.
CONTRAC
4
LEGAL DESCRIPTION - SEE ATTACHED
/ )y
2-37 7
ZIP
Required Set Via n Feat
Sow
IWest
Zone Classification
(l,fg 37O7
DESIGNER
z%9 2 2C
Type Con
PHONE
ValuatiOn
Sprininered
Elves CNo 0 Roved.
Stolid ng Area in Sq. Ft.
5' ADDRESS
IP
OWL Area
easement Area
CHANGE OF USE FRO
TO
Split Leval
TYPE ❑ NEW 0 ALT. 0 AWN. ❑ RPL. 0 !PPE. 0 OTHER
OF
oRR 0 elo. 5,5PLMB. 0 MECH. O M.H. 0 POOL
Oath
o. Floor
No. Room
Rec. Roe
CERTIFICATE
of EXEMPTION
CRIBE WORKl
l(.1„./ A uSoTe unues GAS
9
VALUATION
EL TR
ATER
SEWER
1 hereby cei 111v that I have lead a u rd Iln., a PI .1 ,. . ...c..d Um . r.
iswelSe
011 tide, and knV ln•
Om a n III.I1 11
IV PP o1 work will be Comp1 1 • .1l1 Abell',i..1tlr., lb•
law �. ..��.Irul l�i�i
lo 91ve authority to violate Irl 1,1111,0 I I "sl v
performance of Constructs:,
SPECIAL APPROVALS
DEPT. REqD. RECD.
Env. NNW
Ma
Pe Marshal
co Eng neer
SEPA Checklist
SPECIAL CONDITIONS
DAT Ea: !!-79 OFFICIAL •1 (y0.4M66.061-3
_. r I In' LT g .--)1 I
DATE .4,/ - 3 - �9
FEES COLLECTED
Single S
Bulldmg
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL S
WHEN MACNINL
•5.50
.550 0
.5504
*GOO
8930?
12-11-79
6674
If
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION: /---94( R/e /
DATE REMARKS: