1980, 01-09 Permit: 79-9090 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
1.61 -SO clnt&' (JO mss
/TQM
71
3• -14 - ON -L- t�!
ApPLICVSPOKAIVt UUUNIT— ISUILUEIVO l.L,IJr ur Mn mcn
NORTH B11 JEFFERSON' SPOKANE, WASHINGTON sgas ' MORI as6-.75
APPLIC NT CPMPLETF NIJMI11-131-D SP AL 1 S — 1"01 11. I Lb 1.17 TO MAKE 4 f1)PII
JOB ADDRESS
LOT
RLOLM
ER
ADORE
IVISION r> CV'lft bA PC9.
/6 i
P ON
L 7Mo
CONTRAC0AR
4. ADORES
DESIGNER
ADDRESS
PHONE
Z
iga0a
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER'S
Norm
sue or Astral
Fast
JWest
Occupan
Oyes 0Ne ed
Reg,
EtuildIng Area In, Ft
ZIP
RaSement Are
Garage Area
mane
CHANGE OF USE FRO
TO
p It Level
0 NEW 0 ALT 0 ADEN. 0 RPL. 0 MVE.7 OF ❑ OTHER
„GRH ❑ BLD 0 PLM* L1 MECH. 0 NCH 0 POOL
No. Bath
o. Room
R•c. Room
CERTIFICATE
EXEMPTION
Not Red
DESCRIBE WO R
Mgt
ALUATION
Scav
ELECTRIC
ATER
1 001000 0 1110 Ihal I 1100 Wad JILL1. erl 1.1111 a 11110.11,00 0 ,l
levviSc
role, and knowthe 11 .0t1 1
type 01 wink Will he IP1Ie1I x1111. �fllllk .,�. Ili 111 .1 I
0 011 111110IIY 10 ,111.11 or c,ulcll Ili, pl.
IllgrorolunCrk or CMIs1111Ln1,n
DATE H,N
LI no 'ill_
SPECIAL APPROVALS
DEPT
nv. Health
PI nosing
Co Engine.,
zone c,earanc•
SEPA Checklist
•
SPECIAL CONDITIONS
DATE(10. OFFICIAL
AI'PRDVFFI 11111 It I'.1
EES COLLECTED
Single
Bustling
Plumbing
Mech.
Plan Check
SEPA
MBI H
Other (Spec 111
t'C>
TOTAL $
DATE
03* *300
00 W
•3006
•000 8
90808
12-111-79
6479.
WHEN INACHINE Ilko lii
II11,1011l I1 1.,i._ plel.n I1
119.11. 47.00uii