1980, 05-20 Permit: 80-2435 InspectINSPECTION RECORD
OWNER q LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE WASHINGTON 80288 / MOM 068.3876
APPLICANT, COMPLETE NUMBERED SPACES — 4uI 13 ro MAKE 4 COPIES
JOB ADDRESS
1.
f
LOT
BLOCK
a'?/o2UN /1%r'AI fF 6? .'re e/e
LEGAL DESCRIPTION — SEE ATTACHED
s owNER te-- ile6LCptel�'
ADDRESS
1c2 �a yfQe� t�,
t. oDTRAc _ SWIeUI c,er�t.�.�.t.,
D 3707
DESIGNER
6. ADORERS
745?? /
PARCEL NUSRIER/S
Required set Rack in Feet
Isal IWeat
Size Or 1,1,31
Zone Classification
TYPP Const.
O<CUP.ncv SIMISred
ayes ONO 0 GM,.
PHONE
valuation
Building Area In Sq. Ft.
ZIP
OWL Am.
Basement Area Garage Area Storms
CHANGE OP 1.111 PROM
S.
TVPE NEW
), Dr
WORK ❑ �D•
TO
Solit
Spill Level
Rancher
DESCRIBE WORK
a VALUATION
D.
0 AVN. 0 RPL. 0 PAVE.
0 MECH. 0 M.H. 0 POOL
❑ OTHER
ELECTRIC
No Baths
WATER
CERTIFICATE
of EXEMPTION
I hereby car ray that I have lead and examined this application and have lead the "Nl,
an reside. and know the same to her and correct. ws All provisions of laa •
type of work Will be complied with whether specified herein u not. The granting �'I�
IO :ority to violate of cancel the provisions of any other state or local law heli
of eonnrdmion.
DATE SIGNATURE
. Floors 1 No. Rooms
SEWER
v lelnded
goeetiong this
es of plesunle
,intr uction 01 the
DEPT.
MOM APPROVALS
RSO'O. REVD.
Env. Heel
Plre Merm.11
C.. [wormer
Pon CIeemnm
YMIAL CONDITIONS:
FOR GAS:
PIPE SIZES:
PIPE LENGTHS:
BTU'S:
R.C. Room
R.<'d. rot Reed.
FEES COLLECTED
Single E
Solklnp
PIumbinI
Mech.
Men Cheek
SEPA
Mobile Home
Other (Specify)
TOTAL
��MMaH35
DATE
*550
.550 5
.5508
*000 8
2/1342
03-20-80
4479. �..�..,.
3 zy So