1979, 12-14 Permit: 79-7254 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSEW
SET BACKS
FINAL INSPECTION: / 2 -14 -?'r c ift/
DATE REMARKS:
/244- 741. / L 7L JTrigJ
PLAN NUmBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Et. 3L191950M SPOKANE, WASHINGTON,...) 500, 4594075
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
2.
3.
sOB ADDRESs
LOT ZVOL114 SIMMta4C Srati'
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
N. GAN -rem.RN
ADORE. 4geromates
3 18 N AREEN AcitEs .11.4:1N)
PARCEL NUMBER'S
PIP
/10A
Reouired Set Bacr:::.
.7
CONTRACTOR
4. IbiNG
ADDRESS
Sim of Parcel Pone Clabilleation
ZIP
Type Co..
Occupancy Sprinkler.
Dyes Ds* Real,
5,
OESIGNER
ADDRESS
Valuation !Wieling Arm in So. Ft.
PIP
OWL A1414
Basement
4,0.1 Garage Area
CHANGE OF USE FROM
6
TO
Split Entry
Spilt Leval
TYPE /1.11 -NI -W D ALT. 0 0 RPL. 0 MVE.
7. OF
wor„, 0 OLD. 0 PLM.. ikESECH: 0 M.H. 0 POOL
DESCRIBE WORN
9.
0 OTHER
No. Baths
No Floors NO. ROC..
Maid. Roc d. ro, Raved.
CERTIFICATE
of EXEMPTION
Rao Roorn
I Furl fac;
I Utgles MJM.L GAS 04050
SEWER
oadniirion this apirli 'drug mid have indri the 'N10110.1." a•uvislot,
ihu im lino and co. 01 All provl,roo ol lawS goveortog
Type ,r0t4 oat ot• la, olta ,hothor 11 tam or nol I ho 1,ranon1ol oarol, doe, loo presume
10 nou filithOrily Lilt. iii '110 .ii ur v othet State ro loCal 11011Stninti011 Or Ole
7 9 iNr1tU
Pul iininlaliCe 01 t,i10.11.1Ctl,t1
SPECIAL APPROVALS
RE0.0. REVD.
Env. Haalth
Fire Marshall
Co. Engin.
Pone ClOprance
isramainer
SEPA Checklist
SPECIAL CONDITIONS
HOULE Lockrfa AT PANE. OF larr
35;Db0 111.4
fU _6
— 2_0,
FEES COLLECTED
Single
(Wilding
Plumbing
, /2_1
s ja
'?"
Plen Check
SEPA
Mobile Horne
0thOr 159.7,70
TOTAL g In 6'9
GrOMIT NUNIBER
DATE -71
(1 0 • 110
• 1 ,
41.70
11- 2 -71 'S'46594. Ihrei3GA-
WHEN MACHINE V/41..1.1,0 IN 1. r"..!, .44
r—ric°13/ WY"'