1980, 10-14 Permit: 80-7743 InspectOWNER
CONTRACTOR
NSE W
SET BACKS
INSPECTION RECORD
LOCATION
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS):
K6 IV (-e9-?-11g
MAMMA
APPL(CATIION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NOhTN 511 JEFFERSON I SPOKANE, wAONINOTON 00000 / 10011 00E-0075
LOT
APPLICANT: COMPLETE NUMBERED SPACES - PRE( HARD TO MAKE 3 COPIES
///jjj p���
400 ADDRESS
•LOtlest DM
'T
n
2.
D..aR
• ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NOM0G1/e
G.24,-as—V3
ZIP
• 14.00R AIX
aro1(agFFG/).c1�
OWONEO
5. ADDRESS
S.
5O^^NEg; 4+ 2
Actual 54t •.0N. M Fwd IW IlIl
5u. 41 0.01.1 1004111I Zone ClulIlcM
14cco i
T.4. Cowl.
01KUPNWO
Don ❑No x100.01.
ANDRE
vcwwwn 100041ng 01411010. Ft.
5000111E OF UIl FROM
TYPE
7, OF
WORN
I
A
❑ N2vs QALY.
0 m.o. QFLr•,
VALUATION
/ ITO
�I . 0 MRCRFL
FL 0 OAK
ill
$ON10E DA1
uTIETIEI
ELECTRIC
OLa✓
ZIP
0 MVI.
0 POOL
WATER
0 00000
5EWOR
Mob Flea
0000r P1o0ra 1 Gar. Ata
At4. NI Oslo.
FROWN iaWillem I UnIV. •..Vont
"0.000.. �No. 01 AwM114.4
--- I L r"'"*".
Inwn, Olw 11.0101100 1004.1
NO 541115
No, Nola
CIRTIFICATI
et t%IMPTION
Public 0 PFIyal.
LE1 COO.
I hereby 0521115 that I hoe reed and examined this application and have tend the 1114011( 11." pruvislons included
on reran. side, end know the same us be true and clxteot. All provisions of laws end ordinances governing this
type of walk wlIl he complied with whether RMcltled netters or not. Pm grenbn0 of a peon. doer not presume
10 pie Euthority to violate Or canal me prommns of any whet Min 41 10011 Ilw regulalmg construction LSF the
petlonlo•rw1 of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION / I -4° SIGNATURE OF.\41.4:001
LAICAL APPROVALS SPECIAL CONDITIONS
NAME GATE
Em. Nellie
•
no. Ewe...
PnoN.
ply
FOR CAS APPLIANCES
PIPE SIZES
PIPE LENGT
BNS
PHO O.OLLECTID
81001 t
Bugelee
(Numbing
MWEn.
flan Check
SOPA
Neal. loot.
OtNr (Speedy
TOTAL iQ.OJ
WAIT UEta
80=N7746:3
01.• 59.00
•000
• 9.005
r •000 B
77422
07-28-50
2 4479.
Till 91CDMISri *004 A1f4 i' 1"i', 9PACa