1979, 12-17 Permit: 79-9012 InspectINSPECTION RECORD
OWNER
-LOCATION
• CONTRACTOR
TYPE a WORK
NSEW FINAL INSPECTION: / 12- 7Y
SET BACKS
DATE REMARKS:
1217-79 &moi i/t) ik4n:4>411®fi; J p)
t2.31.16t coat — "Cul. Kiikilt of gormA. et.,"'0*--
- INLiK &Stabil- Oat fo WAN. aSibtsros 504(-
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4.1.4t- 86 Eck u t, t 44.94,
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APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99360 / 15091 456.3675
APPLICANT: COMPLETE NUNII3ERED SPACES — PRESS HARD TO MAKE 4 COPIES
2.
JOB ADDRESS
Chi Loc te115"GN'" --'"
I
LEGAL DESCRIPTION — SEE ATTACHED
o
3 zoL _ o'
.. .O.LI
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
8.
PHONE
22-3.'s/9
e
HONE
ZIP
PHONE
ZIP
TO
TYPE ❑ NEW ❑ ALTt RPL. ❑ MVE.
7. woRH ❑ BLU. ❑ PLmY
$I mlccH: ❑ m.H. ❑ POOL
0 OTHER
PARCEL NUMBER'S
RRanel,ee s Ires n Feat East
°nth n. Classification
OrrePmev
Dyes
Deom sO. Ft9d.
Size of Parcel
Tyoe Const.
Valuation
OWL Area
SPIII Ent,
No. Baths
easement Area Ger.°. Area
Split Level
No. Floors
storage
Rencher
No. Room Rec. Room
CERTIFICATE
of EXEMPTION
R.c'd. rot Rap d.
GAS
hSCRIBE WORK
9. i
Sc - ltd Z -u,,
ELECTRIC
WATER
SEWER
hereby certify that I have read and examined th rs apple duulh and have I cad the "NUI 11'f Ilrovishons Included
on side, and know the same to be Inge , nd r All p 01 Ie t�hhdll s governing tns
01,00ofwork will be complied w.th whether .peed led heleir, c t. Thegrantingof .1 pelma does not presume
o give authority to violate Or Cancel the prnv,iolu' of di y other state or local law irynlauny construction oI the
performance of construction.
SiONATURECei.eL,MIt;V'41G1_V"I V)dCl^ _
SPECIAL APPROVALS
DEPT. RFO'D. RECD.
Env. Health
PO.nnin.
0 Marsha
C..Ln.Inaar
Z0YCNaran[t
SE.A Checklist
SPECIAL CONDITIONS:
/z /2
741
F IAr.R,r.Pwk.'cE Z
FEES COLLECTED
Single $
Building
Plumbing
Mech.
ii/ Si 0�
Plan Cheek
SEPA
Mobil. Horne
Oiler (SP.olly)
TOTAL $
M
PERMIT NUMBER
79 - D/.2
DAif /2—/2— 79
04* *1400
*1400 F
901.13
12-12-79
6479.
WREN MACHINE VALIDATED !NTH AC
THIS BECOMES
47„KNIT 91012 g *1 40.0:2i'