1980, 09-22 Permit: 80-9443 InspectINSPECTION RECORD
OWNER - LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION: 11--a..(4-0 Ff s/RCS
SET BACKS
DATE
x.22-fs6
REMARKS:
Al
tee;eAv Sri-i--eigc rol")'d ,)
rAtisl". PAM/
NUIMtp
9r=/
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH ett JEFFERSON / SPOKANE, WASHINGTON BB250 / (509) 460-3075
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
ADDRIat
1. LOT AdiLgt12hew N
& tlOWNIR
Larr Pe•lInski Bldr.
sr`DROS
P.O. Box 14410 Spokane, Mn.
CCNNTR�AcroR
4 • 0
sine
'rte e
LEGAL DESCRIPTION - SEE ATTACHED
mf928-6090
PARCEL NU0ss7, r
ER/S N, ae'e. 416e' OF w.
. M
7' rgwe r /as S KS. w. , ' PWE R 04
4644— 0/0
ZIP
99214North
Actual Set Backs In Foot
is0Bte
st JINNI
PHONE
Size ol Parcel
ZIP
80 x 13
rvpe framet 7I single
Zone lllution
Single family
oewara*RnE
AooSB
PHONE
Valuation
zip
325
in 5e. Ft.
1016 A
Building
Main %
Upper Floo Garage Area
torage
S
ONANOI OF USE FROM
TYPE I8 NEW
T, or
WORK 0 SLG.
ALr.
0 PLMe.
Iro
ID AD•n.
❑ MECN.
Area of woke
Finished Basement
n11-. Basement
0 RPL
0 M.H.
❑ MVE.
0 POOL
0 OTHER
P. ars No. ;WIG.
No.
No.eW,Ilines
I
CERTIFICATE
of EXEMPTION
Rene, IN., Reed.
We.
9.
89SCRIBE WORN
Slnyyle famll
VALUATION
Enwn. OBI.
Location (A0YI
SOUO�C!
ununEs
OAS
ELECTRIC
WATER
SEWER
Septic
i,o N to Pae,u=
USE COPE
1 hereby certify that I have read and examined this applicenud and haen reed die "NOTICE" ;i, uvislons included
.,00 morn side, and know the IBM, In he true and coarct. All pl OVlsl(lllt of laws :OBI Bndlnullcas governing this
**IN o1 work will be eelnplied with whether specified herein oI. the granting or ,i penins does not presume
tB SNe authority 10 0101.). Or cancel the provfs10ns of any Olhn, �I,ih:..i local law Ieykiholiin cOliStiUCd011 Or the
perl2Nmanca of construction. SEE REVERSE SIDE FOR REQUIRE() INSPECTIONS
DATE OF APPLICATION 8/28/80 SI(;NAr/IHE t.r AM_ IC
r . SPECIAL APPROVALS
NAME DATE
'1
'Mran111
D4 Emm
pitlal
M.Eperelner
SPECIAL CONDITIONS:
7Kae2.. ew 4
Plans on file #R-780
FEES COLLECTED
RN, 8
Building206,00
Plumbing
Mech.
PIsn Check
DDPA
Mobile Nome
Other (Specify)
TOTAL s006.00
IPERMIT NUMBER
9-"
02* *20600
*20600
*206008
•000 8
22619
08-28-80
6.679