1981, 02-05 Permit: 80B-4920 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E
SE BACKS
TYPE OF WORK
FINAL INSPECTION: 0-'2,2 F.-„,„/
(i
DATE
-6/
REMARKS:
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HUMEER
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APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 09250 / (5091 450.3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
7SUED MCI
R:27,7073eti
LEGAL DESCRIPTION - SEE ATTACHED
iia -,z` qs
PARCEL NUMBERS
ADDR
TR
IAODR[88. L1
PHorvf
535- 91 76
S
21P
E
ADORW25 30.33
iiEr.
ZIP
a
7.
CNJINOE OP USE PROM
TO
North Actual SW Backe In Feet
(South
Ira of Parcel ane CNulflea long
Type const. O«ueancy Sin
Ovea Oeno 0 0 Ree•e.
Valuation Building Area In So Ft.
Main Floor Upper morn Oerala Arg Stora.
Area of Deeks Finished lament Unfln. Emmen!
TVR 0frNSW D ALT. 0 *DIN. 0 RPL 0 MVE.
oP ��Arrr...
1.p /[3 PLI,N. 0 MECH. ❑ M.H. ❑ POOL
D
'pECRIE[ WORK I 6,i irt• J .
VALUATION- SOURC[ 0AE CIA TT'IJ,II(ICCr 1 WATER
UTILITIES
0 OTHER
No. Baths I No. Storlos I No. Rooms INo. of 00.017..
IJIg
R'a. Relict ryol Rears.
CERTIFICATE
of EXEMPTION
[num. Drat.
Location (Arg)
SEWER
Oweirmlo
Public 0 PrNete 0
USE CODE
I inner Certify de, tndt I have read and to be examined this application lInd have reed the and rdre races governing
nthis
on ravens rids, and know the same to et bus end correct. All opt The ra laws and perm, do s nOpr the
type of work will bo complied with whether specified f harem Hi opt Tho granting law 6,l x atcsi c duns not presume
to five authority to r clam or slicer the SE SIDE
Ion: of any other state ul local law regul�ltll6,l construction lir the
performance of construction. SEE REVERSE SIFOR REQUIRED INSPECTIONS
DATE OF APPLICATION /G/BD SIGNA (URE APPLICANT
SPECIAL APPROVALS
NAME DATE
Ins, Health. . ..
9Dn7Ma
,o. Engineer
SPECIAL CONDITIONS:
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y/fds
FEES COLLECTED
816,91 f
Building ��jj��
Plumbing -mKL
Mesh.
Pon Cheek
SEPA
Mobile Home
Other (Spg'fy)
TOTAL
03* •4800
•4800.'
•480015
•000
491.98
12-16-80
6471,._
WHEN MACHINE VALIDATED IN THIS SPACE.
1