1980, 08-20 Permit: 80-3547 InspectINSPECTION RECORD
OWNER
.! OCATION
CONTRACTOR TYPE OF WORK
NS E W FINAL INSPECTION: 0---414-1 t i"/A P4)
SET BACKS
DATE
REMARKS:
Ah ot,Jett
wrr r.vF+F[v[v •—•m•-••••• l
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99:60 / 16081 4663876
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
6' ADDRESS
PHONE
P
PHONE
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PHONE
ZIP
CHANGE OP Lill PROM
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LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMIER/S
.0
Actual Set Racks In Feat
North !South iweatsize of Parcel ne Class.IcatlonT0100001 1 kl prin eras❑Yes ❑0167❑ Rep,.
ValuationBUIl01ng Area In Sp. FI.
Main Floor NOMPIPod Ar Stodge
Area of Deck. I FIn11b.dlost
aeameni linf 16 4xm.nt
TYPE $ NEW
7. OP ❑ BLO.
wORN
❑ ALT. 0 AWN. 0 RPL 0 MVE.
PLMS. 0 MECN, 0 M.M. 0 POOL
0 OTHER
No. lams
No. Modes I No. Room. e. of Dwellings
Tl
ANN. Rea ria [lof Rq'e.
CERTIFICATE
of EXEMPTION
DEll61EE ` ^I
Q. r<7.3,71.
I LITI[3
TER
Enum. Dist.
Location (Area)
SEWER
Ownership
Public 0 Pvlwte 0
01! CODE
I hereby certify Mei I have read and h ned 0111 application and have read the "1401 0.E" Diovltibna included
on arae aide, and know the 'same to be r and I; ecl. All provisions of laws . ,ihmr„ces 10.'100 Ing this
type of work will 110 complied with whether s 00,11.11 herein or t. Thr ih.mting odoe not presume
to give authority to violate G cel tllo provisions ill any .1111/1 11410 ill 1061 law tenni 0n111 uCtI on ni air
p011011na000 of eanstruction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
of APP' inn I I'M,
SPECIAL APPROVALSISPECIAL CONDITIONS:
NAME I
FEES COLLECTED
81 11 S
Building
Plumbing
Mesh.
Plan Check
SEPA
Mobile H
Other (00.0,fy>
TOTAL S ]�
TvP-O— 9I
.S00
.300 B
•300B
0000
35460
04-16-80
6479
ale