1980, 08-20 Permit: 79-8714 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION: - I-/
SET BACKS
DATE
REMARKS:
•
ArrLIMA 1 MOW rznmj t
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99360 / 1609) 466.2676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
Job ADO RISS LL
bacet. loZ G , /17 a- 1/fell
Loi ISUBDIVISIDN
2.
LEGAL DESCRIPTION — SEE ATTACHED
PARCLi=oKR/e
■
3. Aoo O5,3Ia , C1 , (; r -ac) 4..
/od, ja e Ma ljon
i10 AcIC R
F
GI C4
• ADDR S
vwoN
ZIP
Repulretl Set eeclJse In Feet
North 15
0011 path Mt
TYpe Const.
Occupant. Sprinkle.
Oyes ONp O Rene.
Sire 01 Parnl IoneCleNlllcaflon
DESIGNER
6' ADDRESS
PHONE
Valuation Building Area In So. Fa.
ZIP
OWL Area
Eseeernent Arm Arm
Stoodige
CHANGE OF USE FROM
6.
TO
Spilt Entry
Split Level
Rancher
TYPE IBEW 0 ALT, 0 ADO. 0 RPL. 0 MOE. 0 000"WORN ❑ SLD. 0 PLIAS.E'MECH. 0 M.H. 0 POOL
No. Baths
No. 'toots
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Reed. r°'Rene.
A // %e , r/ '/
• VALUATION
9.
`Iiitlea r r GAS
TLC
WATER
SEWER
I hereby certify that I have read and examined this application and have read the "NOI ICE" Prov cions included
reverseon side, and know the same to be true and c "idle:
Incas All provisions of laws and "idlnncas gov inn this
type of work will be complied with whether specified herein ol not. The grantiml of a it does not presume
to give authority to violate or cancel the provisiohs of any other state or local law regulatinn construction or the
performance of construction. )14,7,,,,_,
1
/...;__)-
DATE / ru"F SIGNATURE 4.
SPECIAL APPROVALS SPECIAL CONDITI S:
0.EO'D. RECD.
Env, Huitn
MannIne
FirslIalarehall
Co. EnEineer
UIIIIIMs'
zone
SEPA Checkint
ears
4 0 —$^
75),/
GATE
04e *9.00'
+9.00!!
E
—‘000- 8
FEES COLLECTED
Sin91e $
Building
Plumbing 1•
Mech.
Plan Check
SEPA
Mobile H
Other (Specify)
TOTAL $ 0/,
12-05-79
WHEN MACHINE VAL IDA TF D IN THIS P
HIS DI.
1�����TMi R,1 g ,nno�