1980, 08-14 Permit: 79-9084 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK /J`-
d
FINAL INSPECTION: &"(- F/441 le
DATE REMARKS:
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH B11 JEFFERSON / SPOKANE, WASHINGTON 99260 / 16091 456-0675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS I1AR0 TO MAKE 4 COPIES
JOB ADOREs5
LOT
BLOCK
owNER �Q Q,)ZT
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER'S
A ss
CON
Rayed e Ba
outn
IWa
�� ��
LVC>'ckcn Sit
;i5 -Soso
Size of Parcel Zone Classification
ADD E55
as
DESIGNER
5' ADDRESS
ZIP
PHONE
Type Const Ovarpance
Dv., Lo o Aag,e.
Bu d ng Area In t.
OWL Area easement Area Garage AM
Storage
CHANGE OF USE FROm
TO
Split Ent
plit Level
Rancher
7. 0 0 NEw 0 ALT, 0 Ao'N. 0 RPI.. 0 MVE. ❑ oTHER
wonrc ❑ BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
EXEMPTION
8. DESCRIBE WOR XD_A
9.
ALUA
0
CTRIC
SEWER
hereby certify that I have read and examined this apphe a...,,. .., ra thehl
Oli revelSo
brie, anti know the s o be t �. I0l r . r t inw..r
typeot work will be complied with whether . r r. IIVr1e111 urlhnh
to give authority to cue.,uI camel the p! 000, r. nh, I 1.,.11
pertolntanCe 0 Cotull ut. Orel
DA,
ECIAL APPROVALS
illiNa .GIG
Env. Heal(
Planning
FIN Marina
glamr
SERA CnaC.1s1
SPECIAL CONOITIO
DATE/ay/SI q.OFFICIAL
FEES COLLECTED
Single $
Budding
Plumbing
Meth.
Plan Check
SEPA
Mobile Home
Other (Specify)
DATE
43* *300
*300 3
*3003
*000 8
90834
12-14-79
4 6479.
�j 00
TOTAL $ "
WHEN MACHINE vnI MOA ISL r. 'rl.�t- 'I�
u 1111':'
fel IS HI yOlOri,
1011741 "se4
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