1981, 02-17 Permit: 79-8626 Inspect,��
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row
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NS E
TYPE OF WORK
W FINAL INSPECTION:
SET BACKS
DATE
REMARKS:
J
404-17-$..-(59
d
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTM
APPLICA
lsa
yKal ADDRESS ieZCilit
2
•r Lc,/
CrER
3. ypones P./..i L
13.4fistt'
,etA 2 a 2 / 44_
E 1,tL4 ,u.
CF
ACTOR /- ADDRESS
PHONE
i -7X -J 7E/
id LI
ZiP
990.3 7
ss
HARD TO MAKE 4 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
Reoelrea Set Barks in Feel II
Louth lEast west
PHONE
9.21. -6.3 9‘
Size of Pincer
Zone ClessIncation
ZIP
9201
Taps Const.
Occupancy
Dv., 0No inclined pep,.
DESIGNER
PHONE
Building Area In Sg. Ft.
ADDRESS
ZIP
OWL Area
Basement Area
(team Area
storage
CHANGE OF USE FROM
gilt Entr
Split Level
Rancher
TYPE ❑ NEW 0 ALT. 0 AD'N. ❑ RPI. 0 MVS.
won„ 0 .LD. 0 PLM.. ❑ MECH: 0 M.H. 0 POOL OTNJER
POOL'?
o. Baths 1 No. Floors
No. Rooms Rec. Room
CERTIFICATE
of EXEMPTION
FSCRIBEJVORH
8.
/ade,
`
FAI LtL!•.E, — !�w-st�.C'}}}aL�.ea PL.
ource GAS I ELECTRIC
Ulllltl.e
L wAYtR'�
E
SEWER
I hereby cel tlfy that 1 Itevu read and examined this application and have read the 'Nt)1ICE ' plovdlons Included
reverseon side, and know the s o be hue and c ll
correct All movlslos of la l
god �i es guv tiny this
type of work will be complied with whnthe! specified helelu oi ion The ylanilug 1.1 .1 does not presume
to ohm authority to violate or Cantel the pine lsmns of any uthel state or local law ieyt,l.11ing construction or the
performance of construction �,f ,
DATE/a-3— 7/ SIGNASUHL /Lee}r.11
DEPT.
SPECIAL APPROVALS
REOTD. RECTO
Env. HMI
Alm Merman
De. Engineer
Ulan his
one Clarence
SPECIAL CONDITIONS:
/2-3- 7
2-t-7 afc
FEES COLLECTED
S ogle
Building
Plumbing
Mach.
Plan Check
SEPA
Mobile Harts
Other IWeellyl
TOTAL E /7SU
PERMIT NUMBERLL
DATE /2.
02•
.17.50 -
.1750 2
•17.506
8 •000 S
8625E
12-03-79
a 6879
WHEN MACHINE VALIDATED IN THIS SPACE, eer+
THIS BECOMES A PERMIT
in�.c:iLa 12-03:-79' 8626$ •175020__