1980, 02-11 Permit: 79-9263 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSEW
SET BACKS
FINAL INSPECTION:
DATE REMARKS: 'r
d -//-Ya c� �c N��SL� O [ &oclss - */+4.
INION/PERMIT
RTMENT
NORTH ell JEFFERSON , SPOKANE. WASHINGTON 99360 1509/ 456 3675
• APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
z. LDll• BU ' tsusoLgsqif
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
3 c-L-ir-r Noleti
CON.. CfDzR F°X I( M
a ADDRESS
PARCEL NUMBER'S 18 55I o.w3
PHONE
Required Set says In Pam I en
North South Qert
Type I Parry
Sue of Par.
ZIP
Zone �1 .1C'
Oyes ON° kl...d
0 ReR'd
DESIGNER
5. ADDRESS
PHONE
aluetlon I10 p Area In Bq. F1.
ZIP
OWL Area
emergent Area Garage ANN
Storms
CHANGE OF USE FROM
TO
Split Entry
Wit Leyal
Rancher
TYPE tYNEW 0 ALT. 0 ADIN, 0 RPL. 0 PAVE.
i WORK L=' BLD. ❑ PLME. 0 MEC.: 0 K.. sod, 0 OTHER CERTIFICATE RIK d.
of EXEMPTION
VALUATION 9ourpl 1 oA
0
B. uw Ix
No. eatha I No. Floorc No. RoomReg. Room
Ras d, INOI Re0'0.
DESCRIBE WORK
ELECTRIC
WATER
SEWER
I hereby equity that 1 haw) I ,d and enainined This apple Ilrl h feud the "In(i I Ic inehldeil
on reverse Side, and know I se to bet uand cu I All In Ovesllawsns HI laws .nni ,� . qnv nil thr,
type of work will be complied with whether .pecifietl lieein o the!ealpinq di „ i leas not pieslnne.
to rive authority to violate or cancel the plivlstons 01 al y orleT date ni local law n qi .. i.nitucbutl in the
Inn int rn�a{�e;: C_onsstructionn.t.
DATE /✓�L—('1'. 1 ,
SPECIAL APPROVALS
DEPT. RECD.
Nanning
Ire Mars ail
Co. Enginew
Eon, clearance
SEPA Cna<knii
SPECIAL CONDITIONS:
Kt5041,(65•°°)
riFtl , 00
N 0917 l
(
DAre/}/L mI L
FEES COLLECTED
S ale
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other lSpecifyl
TOTAL S�'✓r()V
PERM,
NUMBER
9 }6
DATE Q- 'T
•2540
*25010
12-18-79
d 61179
w•
WO al M+LIIINI i AI n
•
26.3 y e25..008p'