1979, 12-10 Permit: 79-8307 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS:
PLAN NUMBER
APPLICATION/PERMIT
- SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH S11 JEFFERSON / SPOKANE. WASHINGTON 09200 / Ia00) 111.111171
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES -
1.
2.
LOT
eIDCRROI
p
JOB AODRE55
LEGAL DESCRIPTION — SEE ATTACHED
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1.41.4442
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DESIGNER
ADOR0S0
6.
PARCEL NUMBERS
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R.ouuad Sot Barka In Flet
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OQ*70700 fNlnkNred
OyN Ono Ct Rare.
S.W.AreaIn S0. F1.
amm tit ArN Gleam Area
Man of Parcel
Tv. CD..
PHONE
Vaination
ZIP
OWL Arm
s
51074 10
CHANGE OF USE FROM
a
LTO
TYPE 0 NEW 0 ALT. 0 AO'N. 0 RPL. ❑ MVR.
' WO00 0 SLG. *FUNS. 0 MECH: 0 M.N. 0 POOL
DESCRIER WORN ad
VALUATION
6.
0 OTHER
a
U11111Nt
Split Entry
eplll Mel I Renebar
No. Bacot I No. Felon I No. Roane 1 RR Room
CERTIPICATB (":"..LI
0 e. �1l5 RN'd.
of EXEMPTION l
ONE RIC
NTER
X
SEWER
I hereby certify that 1 have read and examined this application and have read the "NOTICE" provisions Included
on verse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of 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 local law regulating construction or the
performance of construction.
DATE SIGNATURE
SPECIAL APPROVALS
R[G'D. RECD.
Env. H.101
Fermin!
F. Marshall
Co. En9MNr
ISE
CON TOI 1
.0.0 wean.
SEPA CMckllrt
PEA COLLICTIO
SIREN ,
S OWN,
PAWL
N an Cheek
Mobile Home
DATE
Other IlfMalty
TOTAL'✓
CO• te) NI VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.
� L 1 1]L16 -7Q tn1^ ascpn_
—
V r79T-G(r. o7
a �
03• •550
•550
*5508
8 •000
83061
11-26-79
1 6479.