1980, 10-14 Permit: 80B-1951 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK
FINAL INSPECTION.
DATE REMARKS:
22A -e.
N NUMBER
APPLICANT:
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH et JEFFERSON / SPOKANE, WASHINGTON 99160 / (600) SWUM
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
/De ADDRESS
1. ldio4 E SINTD
LOT
2.
LEGAL DESCRIPTION — SEE ATTACHED
BLOCK ISUBDIVISUR
PARCEL NUMBERS
DWNER Eexmmtn 0edei111om
a ADORESS104 E Stat.
-359
Spokane Wa
'99206
c uai set Bac Is In Me Dart
Norm
10.0
ee CONTRAC_TOyrL a 8Le1
J^:a, IAoDR0611 3.0ikaviaton
PHO 1521
size of Parcel 1 zone Cla.Olwuon
Spokane VA
ZIP 99220
Type cont.
kl.red
Oyes ❑ria 0 R.0 d.
DUMMER
6. ADDRESS
PHONE
Valuation I Bulldlnk Area In S0. Ft.
ZIP
Main Floor
CNANOE OP USE FROM
6.
TO
Upper Floor I Garam. Area 1 Storage
Finial. Easement I Unfln. ',moment
Ares of Cracks
o'P1 ❑ Naw,' 0 ALT.
WORN 0010.'... 0 FLAIR.
DESCRIBE WORK
a Ineta11& wire heat sump
VALVATIeN
=.DN. ❑ RPL. 0 MVE.
❑
MECH. ❑ M.M. ❑ POOL
❑ OTHER
No. Balis I No. Stories No. Rooms 1lo. of Dwellings
Rimed. 1 Roc 0. rot R.R'd.
CERTIFICATE
of EXEMPTION
S0UOFCE
UTILITIES
OAS
Enum. Dirt.
Location (AIM)
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
I hereby certify that I have read and examined thio applieauon and 11000 lead the "NOTICr" provisions included
01 rMV9ne side, and know the Sarno to be true and LOttect. All id uvlsiuus of laws and urriinenees goveTning this
type of work will:. be complied with whether specified herein or t. the granting of a nit does not presume
t0 give o0thority 10 Violate or cancel the provisions of any other state Or Ideal law reg./Idling 94nstru0tion or the
0perforplpnce Of pd 1?IOction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
SATE OF APPLICATION /0_1E3'0 SItiNATUHt-. OF APPLICANT
0 -
SNCIAL APPROVALS
NAME DATE
'100,00.011
TS
C Englnmr
TIM
SPECIAL CONDITIONS:
FEESCOLLECTED
SI gl S
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
3.00
Other ISpeolfyl 6.00
Inspection
TOTAL $ y.9v