1980, 10-30 Permit: 80-6700 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
4442_
36".7
U [y 1
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 511 JEFFERSON / SPOKANE, WASHINGTON 99250 / (609/ 460-3616
APPLICANT: COMPLETE
JOB ADDRESS
1. LOT eloc' 51.(01bhllydn acrd
2
NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
OWNER
,&„ rny. llla.(��tvtp.n
wobR...
.
:
DR
ao4 fl
DESIGNER
6. ADDRESS
Zi34-941 .1
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NU:.iBER/S
IIP
on[
Actuol Set Backs In Fax
9o0lla
Mao f Parcel
59ao -�
E
Ty1N Conal.
Valuation
CMANO[ OF USE FROM
6.
ZIP
porn eat
w.0-
ions ClnNnauon
Oecupanry f Sxlnklxm
Orae Oleo 0 Rm•a.
BUINina Area In Sq. Ft.
Upper Floors Garage Area
Molege
TO
Arm of Dacha
Flnlao.a Basement
...In. Basement
7. DFP. 0 NEW 0 ALT. AD•N. 0 RPL. 0 SIVE.
wpRR ❑ BLD. 0 PLMB. 'MECH. 0 M.M. 0 POOL
6.
B.
DESCRIBE WORK
VALUATION
0 OTHER
N0. Batt a
No. SINN.
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Read.
Recd. Plot Rea3.
5& &O hot tamer hcau r
60UO�CE /ryy,O,,,yy I LE00RIC
srrlunn l/�
WATER
Enum. DM.
Location (Areal
SEWER
OwnxMlo
Public 0 Private 0
USE COD[
I hereby certify that I have read and examined this application and have read the "NOTICE" yr ovislons included
on reverse side, and know the same to be true and correct, All provisions of lows and ordinances governing this
type f work will be complied with whether specified herein or not The granting of a perm. does not presume
to give authority to violate or cancel the provisions of any other nue or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION SIGNATURE OF APPLICANT
WICIAL APPROVALS
NAME DATE
nn aa
ermine
Flra Mansell
Ca. Engin
Unlit
SPECIAL CONDITIONS, FOR GAS APPLIANCES
PIPE SIZES
PIPE LENGTHS
BTUS
FEES COLLECTED
81091 S
Building
Plumbing
Moen.
Plan Check
CEPA
Mobile Home
Other (Specify
TOTAL C `I`W
PERMIT NU
MBER
G-�O-Io'1OC
06* •9.00
.9.00 ha.
•900
E * 0 0 0.,.,,
669.94
07-07-80
P 6479.