1980, 09-03 Permit: 80-8474 Inspect•
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
PLIlt1 NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH B. JEFFERSON / SPOKANE, WASHINGTON 00260 / 160614663616
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
t..
2.
a
JOB ADORED,
N. //co G/.4N.fo
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
SUBDIVISION
OWNER
C. H/. L/1/1A4•SON
9ZEv58'19
PARCEL NUMBERS
/3 .2S-4/3
ADDRESS
/V• //zo C9pPAe0
ZIP
99ZocNorte East
Actual Set Backs In Feet
�Weat
0Yea ❑No Sprinkler.0 Row.
In S0. Ft.
4.
CONTRACTOR of Parcel
PHONE
ADDRESS
ZIP
sl;WmConst.
Zone ClawIlIcatIon
DESIGNER
E' ADDRESS
PHONE
Ilolnv Area
Valuation
ZIP
Main Floor I Lipper Floors
Storage
08090E OR USE FROM
100
TYPE arca..
1. OF
WORN 0 ELD.
D501:IE}EWORN
g. UTIerTIESI
0 ALT, 0 0001. 0 RPL. 0 MVE.
0 PLME. S'MECH, 0 M.N. 0 POOL 0 OTHER
Area of Gm. I Plnisn.4 Raw..
Unfln. Basement
No. Bat. I No. Stale)II
No. Rooms INo. of Dwellings
Ree d. Jot MOW.
CERTIFICATE AMYL
of EXEMPTION
STBS (I
OM
Enum. OBI.
Loeatlgn GR.)
ELECTRIC
WATER
SEWER
Puollc 0 Private 0
USE CODE
I hereby certify that I have read and examined this applicaholl And Liao i.rad the "NI IT ICI"' provisions Included
on reverse side, and know the fame to Ue true
and correct. /111 II v sof laws and ordinances governing this
type of work will be complied with whether specitied hereon l rne rnranlllnl I, I does not presulne
to give authority to violate or cancel the provisions at any nlhel aline in local law �, Ia ILII-,np construction nr the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS•
DATE OF APPLICATION /3 SIGNATURE I IS APPLICANT`=r`��// .1 e^'--��
SPECIAL APPROVALS
MIME DATE
Env, Healt
Planning
PIN Marshall
Co. EMI ON
Dar XVII no
SPECIAL CONDITIONS:
PMMSCOLLICTED
Single S
Building
Plumbing
Mach.
Plan Check
SEPA
Mobile Horn*
Other ISpecity)
TOTAL s 7'00
PERMIT MUUMMA
W -SW./
0 4'.
.7.00
.7.00 K
84732
08-13-80
2 61179.