1980, 04-09 Permit: 80-1556 InspectINSPECTION RECORD
•
LOCATION
OWNE
CONTRACTOR
NSEW
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE _ EMAR
IMAN`raaNUMGER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH SI I JEFFERSON / SPOKANE. WASHINGTON 99380 / (509) 456357S
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
,. Aq� ae�LR I t ISP eJ
2 �P
3 J'At 4/e, ,.v
ca cAi y
4,, , 44
ADDRESS 4ADDRESS
• /bte.../f /4)4, /F//.
DESIGNER
5' ADDRESS
d CHANSE W USE PEON ITO
TVP 0 NEW 0 ALT. 0 00'N.
or
T. WCRN -0 m.o. ❑ PLMS. 0 MECH:
�tD[EA.CeIOpI(6r! WORN
VATATION ar /
S.
PHONE
�rrLPoYo
LIP
99A/6
NONE
Fait '.Imre
LEGAL DESC^RIPTION - SEE ATTACHED
PARN..CN0MBER/S
Required Set Bacl . In Foal II
North (south lEaet 'WWI
00. al Perm) I Lon. Claudication
P
Type Gonst.
sprinklerw
D«upancr OSS.. ONo 0 Rag,
PHONE
Valuation (Budding Aream Sq. Ft.
LIP
OWL Area
Easement Ares I .raga Area
Spill Entry I Spill LOW! Rancher
0 RPL. 0 MVE.
0 M.H. 0 POOL
❑ OTHER
No. Bathe I No. Floor. No. Roorne I Rm. Room
CERTIFICATE I Read.
EXEMPTION
0.c'a. r5t Rp'd.
/`NA.YEt eP % a 3 %o / fr e'J`.C, c W'aef..-ter es
AS H ECTKC ER
Sogim
UMION
SEWER
1 hereby certify that 1 have read and examined this application and have read the "NU 112L" or uvisions included
on verse side, and know the same to be true and correct. All provisions of laws and u:d:nances guvern:ng this
type of work will be complied with whether specified herein m not. The granting of a I'e:inn dues not presume
to give authority to violate or ancancel the provisions of y other state or local law regulahnll constriction or the
p.rfOrmancs of construction.
DATEC��—g`
SPECIAL APPROVALS
DER. REO'O. RECD.
SIGNATURE
Nanning
P IM.rehHl
Co. Engineer
txnul..
Zan•GIeemnm
SPECIAL CONDITIONS:
FEES COLLECTED
S'ngle S
Building
Plumbing
Meeh.
/'c R
Plan Check
SEPA
Mobil. Home
Other1Spec1Wl
11. !0
TOTAL S 7.00
0d+
`.r,59
02-27-80
6.479.
0700
*70L' 0
•002
•o.00