1980, 08-05 Permit: 80-2051 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK 7_4
N S E W FINAL INSPECTION: P�`^� r'/#4!
SET BACKS
4f,���
DATE
REMARKS:
ati 44 4 t° ("1 l(ed
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE. WASHINGTON 917360 / 160EI5660676
Rmtr NUMseR
--_.._ EEEO— d0, 1
..APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LOC BLOCK u6Dl IS n
'r.
01-oj N
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
3. ADDRESS
4:
CON T RA eft2t3L'"U2
OMEN.
6' ADDRESS
PARCEL NOMSERA
PHONE
Qat- /aRequired set BMS m Feet
ZIP
North
Iw.
PHON• ESUS
Size of Parcel Zone CPssItication
rRao 9
cqqg Lot,
PHONE
D«gPee<y ONo 5PIINANtIO
UV.
6gllaln. A..e m aa. rt.
Valuation
ZIP
DWL Area
Moment Area O.r.H Area
SIer.H
CHANGE OF USE FROM
t
TO
Split Entry
50111 LIP/01
Rancher
TVPE 0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF
WORN 0 BLD. 0 ELME. 0 MECH; 0 M.M. 0 POOL
0 OTHER
No. EDON
No. Floor. 1 o. Rooms
e. Room
P.�a R•rot Rim,
CERTIFICATE
of EXEMPTION ll
e.
a.
DESCRIBE WOR
VALUATION
l5(rss.1 /�scsKJ
Seurcr
Ulliti..
GAS
*Pc
WATER
SEWER
1 hereby certify that 1 Von read and examined this apph a n and have read the 'NUI !L L ndluded
On side, end know the same 10 I e t and correct pAll pruvlsIOns of to tow �..�.: �s anger., This
OYr �v
Ivneev work will be complied with whetherspecifiedhetero n t The g: anl:nu 001 Presume
w ntl o violate O cancel Thr nt stslo aur Al, nthel n0 I meal I.tw t hon n the
PerfOrrnre r•
nth!
n Ion.
t r e n c n ...,r rl ���it[
DATE -/L9• Qo SION0.11111 �•
DEPT.
SPECIAL APPROVALS
RECTO. PEC O.
Ens. ea
PlarmIPS
Fire Marsha.
Co. EnsIneter
Utilities
SPECT
NOITIONS:
PEES COLLECTED
Single S
Building
Plumbing
Mach.
Plan Check
SEPA
Mobile Home
Oth. (Spec fel
TOTAL S
DATE n1_/O' gO
li•
t900
•900.
• 90011
•000 E
c 11'0?
—11—B0
4 6479
WNEN MACHINE V ALIOAi I O :II HIS SI Ac t