1980, 04-04 Permit: 79-7106 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
4/At/I/ 0
REMARKS:
� �l_ANNDM.aa
APPLICATION/ PEK M11T
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 111 JEFFERSON / SPOKANE, WASHINGTON 99260 / 16091406-3676
APPLICANT COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 4 COPIES
1. o1TA GR 7 %gCK GZIaIG0sutiu�
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMSER/a
OWNER
3 AQoN eatirxi
AOORSis
So u. t, 907 . o gats
conr•(`R'(�CATOR
1007:11.s. -/-
DRi ADiIY' P —i11G //
em
PHONE
ZIP
OESIONER
E' ADOREES
IV-
to3S/
t'l1Gf
PHONE
1tw,0I4N SM Oa In Fwl
llw of Parnl 1e I Zeno Claulllulenrl
Tyne Conti.
Occupancy Sprinkle,
Eves ENe O 12a6'e.
Valuation 1Building Area In 96, Ft.
ZIP
OWL Area
Easement Area 1 Oaraae Ana
CHANE OP USE PROM
TO
Spilt Entry
Spilt Level
Rancher
TVPI 0 NEW 0 ALT. 0 MEN. 0 RPL.
T. OF
WORK 0 PLO 0 Pun0 MECH: 0 M.M.
0RISEWPCq`M��
▪ VALUATION / 194 crn P
W IIIIN.
❑ MVS,
0 Pool_
0 OTHER
No. OEMs
No Ploan 1
I No Room. l Roc. Room
rE
Awed. Recd. rot Rudd.
CERTIPICA
63 EREMP1ION
ELECTRIC
WATER
SEWER
1 hn,aby 00. lily um/ I h.wk •n.3 and aoarmnad Ihla application and NOM read the "NOTICL' pruvlsump u,Jutlutl
00 r 0, or. n .I, ,1. 11,„,. In„ :nine to by two end corn0t, All provisions of laws end ,n'l ,,:met ouvelnn,/ Ih,.
type ultvoir,will lw c u„pne,l :soh ” hcther specified herein or nat. The 9rantln9 of a 011011/1 inn, 1101 p„l1011
10 1111, anthor,ty to violate n cancel the prows,nns of any other state or local law regllal,n,l •,n.truellnn nr th1
11 / 11o „1 rn11„cl,nn
O ATL _ SIGNATURE
DEPT.
SPECIAL APPROVALS
AMID. REC'D.
Env. Heald,
01001110
Pim Woman
Co EnElnear
Zeno Clwrann
SEPA Checks Ht
SPECIAL CONDITIONS:
FITSCOLLECTED
SingI. E
E u11 179
Plumbing V525
Mach.
P lan Check
SEPA
Mobile Home
Other ISpec,lyl
TOTAL
lA-110
/0-Z9-79
03e +550
.550 1
71054
11-01-79
4 6479
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT
n,,,TG 71116=