1980, 03-24 Permit: 79-8462 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION: b 7/Y/G
DATE
REMARKS:
f
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99280 / 18091456-3816
APPLICANT COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
1. LOT rob ' RL 4L o osNW-j I4
2 I �s �iJH ' (l1L�s AWr(IOP1
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
a M Kis widii 5
ADTEj710 cAiKtAH
6-875.
PARCEL NUMBER'S Of -
PM Set Bacm
i Fee
,
North 'SouthI€ ,t
HONE
ZIP
slTI1�Xcon14� t<9n,nSv S•WA%.SPHnM I�
ye. ❑Ne ❑ RevA
DESIGNER
S• ADDRESS
PHONE
Valuation IBuilding Area In S9. Ft.
ZIP
OWL Are,
Bement Arm 1 Osage Are,
CHANGE OF USE FROM
6.
TO
Split Entry
Spilt lomi
— - NEW WALT 0 AD•N. ❑ RPL
P E
7. OF IWLD 1] PLMS. 0 MECH. 0 ra.H
WORK
0 PAVE
❑ POOL
0 OTHER
No Baths
No Floors
No Rooms
ROL. ROOM
CERTIFICATE
of EXEMPTION
Rer e. ret Rep a
70:° tit- K (tv.„Jm)
8. 50
ECTRIC
WATER
SEWER
I hereby cei tits, that I have read and a ..m red this apphlun.n, iii Bad the Ill.'s
On reverse side, and know the s to be m �� .od c ..� . oil
type 00 work will be npme0 wrath 011,11ma . Med he, em . <I11
to owe authority SO wOlate n taru.el the pnNi.lum, of .Inv nein �i . ; .. ll�
DATE _ /)^^R�,'11 SIt.NAIIiItF
SPECIAL CONDITIONS
SPECIAL APPROVALS
DEPT. RED.D. RECD.
Mw.IMlllr
Warming
Fire %SNOW!
Ca. ng neer
u inya
Zone Clearance
•
No 4 44 lirvop r'Rirb
FEES COLLECTED
Single 8
89110159 441'10r °O
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
DATE
RN°ertfZ 0
02• •1000
•1000 F
• 10008
E +000 8
84611
11-28-79
2 6479