1980, 10-29 Permit: 80-2689 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N $ E W FINAL INSPECTION•
SET BACKS
DATE r REMARKS:
0.
4t -
PLAN NUMPIER
APPLICATION/PERMIT
SPOKANE COUNTY — SU/LDINO CODES DEPARTMENT
NORTH .1 JEFFERSON SPOKANE, WASHINGTON 99260 / (509) 463.3676
APPLICANT' COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
2.
3
4.
5.
JOB ADDRESS
LOT BLOCH WjaSiN
L
OWNES &
AODRESS
S 0
COOT CTOR
ADDRESS
0E510MM
A
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARC0L.ZIPPER/5
Resuired Set Sleets In Foot
Norm ISOutn Lest
503177.11.1 Zone Clastilleation
Troe corm.
Occupant. Sprinkler.
Ova, ON* 0
PHONE
Valuation 110114179 Alva (7*0. Ft
0(74009 OP UM FRoIA ITO
ZIP
DWI. Are. rif•ornsne AV. Oaf... Arva I 5707999
Sttlit
Spilt Loyal I Rancher
TYPE NEW 9 ALT, 0 AO's. 0 RP, 0 !AVE.
7. oF
0 •Lo. 0 FLeme. MEcN: 0 9.0. 0 POOL
0 OTHER
No. Balkt
No. Floors NO. Rooms 1 Rw. Room
Re< e. r., Rev'd.
CERTIFICATE
al EXEMPTION
a
VALUATION
"*"'"""Orle
wATER
SEWER
hereby Certify I have iesd and examtned this applicatior and have reed We (11,) GE OrOVISiOnS InClUded
OPI I ove,.. know the <arm. lie hint awl All ,1111011590 9.01/61,11111) 011,
he cor,(pli 3lI7 lIl.,IIIAIII1I(110ClIl111l itiil d00(
• ,u1,00u1y 10 vrOlate or c.f., Ike provrdor, of •Idte or kn., .• ..,nn ,onstruct.o. ",.
ou.loinlanCa Of construction,
DATE -IS
sictuirualt I IllAi—VAA, 0-.4024:1111
. •
1/PIMIALAIMMOVAL*
DEPT.
PAP. Health
Wowing
Pire Marshall
co. trtnmr_
.00
PIES COLLECTED
Sf $
&ending
NwilbIng
ISIO Cheek
SEPA
Mobilo Hans
Other I...0
TOTAL $
0.0C
470i, K
• 7.30t
•(100
26" 84
03-26-80
S, 84-79