1981, 02-04 Permit: 80B-677 InspectINSPECTION RECORD
OWNER'S
LOCATION
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK
FINAL. INSPECTION: -
DATE
REMARKS: •
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH FM JEFFERSON I SPOKANE, WASHINGTON 99266 / 15691 066-2616
APPLICANT: COMPLETE NUMBERED SPACES — PRESS IIARD TO MAKE 4 COPIES
ADDRESS
LaFrC6LIi 3 5�BDTtT1518N 91'0.te
I7
_Road
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER'S
OWNER
a Poul Potton
ADDRESS
• Month 1311 ManOuenite. Road
CONTRACTOR
Powe t4. lncoaponoUed
4 ADDRESS
Enna A507 Mail .90 000'
DESIGNER
6• ADDRESS
PHONE
ZIP
99?06NoHn
Required SetIn Feel
eL!South East IWeu
PHONE
535-1714
Sloe or PerceI Zone Clefelllnllon
Z1P99206
Type con.
Occupancy ❑ e o,Io R L Rao•d.
PHONE
VatuatIon
Building Area In Sp. Ff.
ZIP
OWL Area
Omani. Area
O.eago Area
Storage
CHANGE OF USE PROM
a
I00
Sp/It Entre
Split Lege/
Rancher
TVPE 0 NEW ❑ ALT. l 9010. 0 RPL. ❑ MVE.
7. OF
wORN O BLD. 0 PLEA..I MECH. 0 M.H. ❑ pool 0 OTHER
No. Floors No. Rooms
Roc Room
CERTIFICATE Read. Recd.
of EXEMPTION
Not Rey'd.
DESCRIBE WORK
S• T ��ffrr�JPP 1'a nwi P/r hp. �pl n to p4P EP 011 A A.f Pm
VALUg910N seise / GHS ELEGEM I WATER
Utnplua.
SEWER
1 hereby certify that I have road and exnlnniu l this a00lluulwlr ..d Ildov HAW Gni "I•II,) l If'. n0luda0
nvette slde, end know the stone to be trud011 a I. All IrI�IV I•�Illlli III WINS •I /u. s IlnVlxrnilnl 1101
type ot work will be complied with whether specified /fruit 1110.0,0,0/]]mil 'tis nut ulusmne
to give authoflty to 410101. Of 001001 the mansions of M 0 other stele .it 10c01 law rognlnlilhl construction 00 the
performance of construction.
DATE 511NP101/1
SPECIAL APPROVALS
DEPT. RE0'O. RECO.
env. HteKR
ening
Ba Mer.0.11
o. Enema.
Lone CNNmw
SPECIAL CONDITIONS/
FOR GAS:
PIPE SIZES:
PIPE LENGTHS:
BTU'S:
FEES COLLECTED
Single $
Building
Plumbing
Mech. A 00
Poen Check
$EPA
Mobile Home
otn:rRi41d0 3 00
TOTAL $ 9.00
0.0.9., Fi Gen