1980, 09-24 Permit: 80-8853 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N 5 E
` SET BACKS
TYPE OF WORK
FINAL INSPECTION: /
leeri
DATE REMARKS:7_4 q 5#-A,44
•
a+r r raysPa SsysMI r
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99200 / 1009) 4662016
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1, N. 4517 Mayhew Road
LO
2
BLOCK
LEGAL DESCRIPTION - SEE ATTACHED
SUBDIVISION
OWNER
a B111 Crook
AN DpFSS
45I7 Mayhew Road
ONE
922-7224
PARCEL NUMBER/S
3
99216
Of1ryal SetBackSouth `.R
1Wen
CONTRACTOR
Servisoft Systems, Inc.
4. A
�R i107 Indiana
PHONE
328-6651
Sim of Parcel (Zona CNnINutlon
2199205
Type Genet.
Occupanc
Sprinkler.]
❑y.. ❑ o ❑awed.
DESIGNER
6 ADDRESS
PHONE
V.Iu.tmn IBvllding Arum Sp. Ft.
Maln Floor
UPPor Floor. 1 Garage Area
CHANGE OF USK PROM
Q
TO
Area of Pecks
FInIM.e B0.amant
Unlit. Easement
TYPE Q 090
T
7. WORK O ILO.
DsstRISE WORK Soft Water
❑ ALT. 0 AO'N. ❑ RPL 0 09E.
❑ PLMC. 0 MECO. 0 M.N. 0 POOL
0 OTHER
No. B.M. I No. SlarN1 No. Room,
No. of Dwell s
CERTIFICATE
Ow e.
I EXEMPTION
R.ad. r°'R.aa.
Enum. 010.
Location (Areal
VALUATION
SOURCE
UTILCITIES
GAS ELECTRIC
WATER
SEWER
OwnerahIP
Punllc 0 Private 0
USE C000
I hereby certify that 1 have read end examined th,, apnl1Caniie all/ have I,dd the "N(1 I ICI -Included
n reverse side, and know the same to be true and correct. All pie and
of lows nr,Imences gov ming this
type of work will be complied with whether specified herein u v Thewanting cal a permit does not presume
to gen authority to violate or cancel the provisions of any other stale 0, local law Iegula hila construction of the
performanoa of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 8/18/80
SPECIAL APPROVALS
NAME DATE
•
seri fig
'P1,. Merin.11
Co. Engineer
1011n1..._
Want P.M.,
SIGNA Un/ nr PPM_ 6ANr ✓ iL«�
SPECIAL CONDITIONS:
FEES COLLECTED
SI gl
Building
Plumbing 3.00
Mace.
Plan Check
8EPA
Mobile Homs
Other 18Psellyl
TOTAL S 3.00
00
•300
.500 0
•3000
•000 0
Ph -20-80
11479