1980, 08-21 Permit: P80-8761 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR .- ..TYPE OF WORK
NS E W FINAL INSPECTION:
SET BACKS
DATE REMA S.
/
g,2r�
•
SeAMIERPERMIT NUMBER
APPLICATION/PERMIT �J
SPOKANE COUNTY—BUILDING CODES DEPARTMENT I F 876
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99280/18091168-3616
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
.we ADDRESS LEGAL DESCRIPTION-SEE ATTACHED CO• •3.00
t, REELER MAD, 8. 1621 •3 0 0 8
LAT BLOCK SUBDIVISION PARCEL NUMBER/5
2. 7- L/� •300lf
°"""imamC 924E5138 } L •Q00 8
a ADDRESS ZIP ActuM Set Backs In Feet 87 in 0
CONTRACTOR ORIS n26 SIM,of Pare! !Sum on.Classification 08-19-80
e. SGPT9�SERVICE CO PHONE455-8050 ror.cons Ppaa P 6479.
ADDRESS ZIP t. 1 O Spnn erect
•3 ,Oyes On. O..,
DESIGNER PHONE Valuation Bul101ne Area In So.Ft.
6. ADDRESS ZIP Mein Floor Upper FlOON Garme Area Storage o
CHANGE OF USE FROM ITO Area of Decks FlniMmi Basement Untin.Basement
TVK 0 NEW V30p,ALT. 0 AO.N. 0 RPL. 0 MVE.
No.Baths No.SWIM No.Rooms No.of Dwellings
'• WORK 0 DLO. L PLMB. 0 DECM. 0 M.M. 0 POOL 0 OTHER CERTIFICATE I Pared. EK'd. IN.,Rea:e.
of EXEMPTION
b[ECRITI WORK DDD`��1�BByryrRIl���Ilppp• EnuIn Dbt. ''eruct"IAfal FEES COLLECTED
8. VALUATION SOUO'C6 I GAS ELECTRIC WATER SEWER pwnarsnlp US[COD[
B. UTILITIES =alit❑PIIr.H❑ ,Single S Of
I hereby certlty that I have read end exdlninecl this applied, l:nil II.PSO load tho'Ali.ICI provisions included
on reverie
1151110 a side,and know the to be true end collect. wilyect.All v moils of law,awl nillnonres governing lhi, Building
type ofwork will be complied with whether specified Hefei.)U I he gromlg i`
llli ll does not presume
to give authority to violate or cancel the ptov Wont ml any whet stmt,of iOoai il POW e.,» m
..i cAhuchOn to the 3.00
performance of construction,SEE REVERSE SIDE FUR REQUIRES INSPECTIONS, Plumbing
SATE OF APPLICATION 0/14/90 SIGNATURE or.irr'L ICAN T___. _ Mr•h.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Sn..Ha1lh
SEPA
'Mannino FFt;
e. Mobile Merthall Mobile Homer T,
Er..y
: e
to.engineer Other ISpecily)
utmuea 3.00
TOTAL $
Pians Eeeminer • —
e
rrrelreee WHEN MACHINE VALIDATED IN in IS SPACE.
SPA ChalElhl THIS BECOMES.,PrMall