1980, 01-21 Permit: 80-307 InspectINSPECTION RECORD
d
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSEW
SET BACKS
DATE
)6,4,2
/2/
FINAL INSPECTION:
REMARK t4
PLAN ISUBIRER
APPLICATION/ PEKmi 1
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH PI / JEFFERSON / SPOKANE, WASNINUTON Pgetb0 / 1509/ 450.3E75
APPLICANT: COMPLETE NUMBERED SPACES - PRESS I-IARD TO MAKE 4 COPIES
JOB ADDRESS e /3a is
Lor
BLULK
SUBDIVISION
a3`
LEGAL DESCRIPTION - SEE ATTACHED
3.
ADDRESS
4'
y _/35�
y9a/�
PARCEL W UMBER/S
R auhea Set ENO. In Feet Iw
North ISouth East
aSt
CONTRACTOR
DEslonE/? 7/0 oa�tCtc rte/
6' ADDRESS
PHONE
i
Slie of Parcel Zone ClaSSIIIcallon
�1> -Z/b
PHONE
Type Const
occepma Over DNo krD Aea•d.
Valuation Pulldlnq Area In Sa. Ft.
ZIP
OWL Area
Basement Area I Garage Are.
Stomps
CHANGE OF USE FROM
TO
Spilt Entry
Split Leel
Randier
TVP D NEW '0 ALT. 0 ADW. 0 RP, 0 MVE.
'. woRK ❑ BLD. jg..PCMB. ❑ MECH. 0 M.H. ❑ POOL OTHER
No. Paths
No. Floors
No. RoomS
Rec. Room
CERTIFICATE
of EXEMPTION
Roord
RecTI INOt Rena.
8a
DESCRIBE
WORK /1 [—�/f D TER
.fil(.. OAS ECTRIC JL1Li
SEWER
I hereby certify that I have lead and examined Ibis application and 11.100 iced the "Nil l Il:l" liiuvlsiuns IIILluderl
reverseon side, and know the same to be true and correct All Iti1rvisions of 11015 01111 iailinailCes guvul lllnrl [lir••
typeof work will be complied with whether specified herein u nol The grant.) of a 110111111 dues not pie)U111O
to give authority to violate or cancel rhe pro5Krons of any othw 0)110 oI local law Ieglhalin Iroiwtructlun ur the
performance of constrOCI1011.
HOU
5I1,1A I UHL
SPECIAL APPROVALS
DEPT. REVD
Eny. Health
PirnIns
Fire Marshall
CO. Engineer
Utilities
Zone Clearance
SEPA Checkrist
SPECIAL CONDITIONS.
NATF
FEES COLLECTED
Single $
Building
Plumbing
Plan Check
SEPA
Mobile Home
Other (Spec IVI
L. 5
TOTAL $ l
YL 80-x,7
DATE
«550 0,
*5505
E +(100 5
17-80
WHEN MACHINE VALE, Irk 1.) IN INIS SPACE,
1,15 BECOMES A 1,0011
U1 il'T rU' ia.70 •5.508