1980, 08-01 Permit: 80-929 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK �
N S E W FINAL'INSPECTION: c9 / /c E-�Yy��
-1
SET BACKS
DATE REMARKS:
el- c (Løp - at4
AMNDM.ER APPLICATION/PERMIT "NUMBER
j SPOKANE COUNTY—BUILDING CODES DEPARTMENT p PE�� —fig - .
NORTH En JEFFERSON r SPOKANE.WASHINGTON servo/ISOM S0e-3675 _
DATE
APPLICANT: COMPLETE/NUMBEREDRE+ 9':/V
PRESS HARD TO MAKE 4 COPIES (13, X550
JOS LOS AOeLDSR SUBDIVISION �fCN - / / / PAR LEGAL DESCRIPTION-SEE ATTACHED •5,50 y
c S DWI a5505
//pp ( / ,/ _�� _ L�� 8 *000 P
•
AO atb-� y,,,, 'fie,,,, 7ai7tY Required Set L 92.8
1/ ,P .w,la Paas an.
/4P�0 1C/CON • TOR ��9�9a6 Banns
.1 CI..I,IcatIlon. oz-o7-eo
266-CQ- — R—P70 . d 6579
A i9 37�7 1y1�a0 ETLl,” Ono TN,.Cons. Occupanng nk o nnaa a.
DESIGNERPHONEain ea
t.
ADORES• ZIP OWL Area !Basement Area GarageArea I Storage
CHANGE Of USE FROM TO spin Entry Split Level R.nanF,
Na.Oates Na.Fioars Na.Rapme Rep.Roan
❑NEW ❑ALT. ❑AWN. ❑RPL. ❑MVE. ❑OTHER
won, LJ OLD 'PLMO. 0 MECH. ❑M.H. 0 PooL CERTIFICATE r Rea N. Rio, rt.Ree'e.
W' n of EXEMPTION
DESCRIBE WORn ata,a,� y � FEES COLLECTED
VALUATION e I GAS I ELECTRIC WATER SEWER
U lllee I
( Single $ — f
hereby certify that 1 have read and examined this application and have read the"NOTICE"In uv Gatos Included
ei side,end know the seine to Ire true and correct.All provisions of lawsand o Un,.nien.governing this Bullying I
reversekr n ort
��f work will be complied with whet ha specified heron oI tat The local
wanting re a memo hoer not prosli ole Zy 6'/)
.iirhOlity n violate or cense the provisions of any other Stele or Innal law reaiilniinn I.rinal ruction or the plumbing Cis
H.1,11n 1n1,of conslruCtiOn. •
'ATE SIGNATURE_ _... _____— Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REVD. Plan Check
env.Health SEPA
elenn eO — w
•
Pb Morahan _ Mobile Home air
Ce.SAllhir •' Other(SpecIfyl
utilities
&& TOTAL $5
lone lseseaone .,... e i F nn vi n.
WHEN MACHINE VALIDAT0U IN
• THISRECOMES A PERMIT
SEPA Checklist DATE�Z FFIpIAt II2�–p7-80 929 ' *.5.5O
I