1981, 02-13 Permit: 80B-1709 InspectINSPECTION RECORD
LOCATI
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK
FINAL INSPECTION: -13-8?' ? 4
DATE REMARKS: "7 Joie/fie-0
2-i3 41 `(i.e pia la disci`
PLAN NUMBER
.e
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 118260 / 16091066.0576
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
. JOS ADO..
1. 2012 B. Sipple
840
Lor •w05 sugorvnlDry
2.
OWNER
Robin Brown
a
ADDRESS
09M9396
LEGAL DESCRIPTION — SEE ATTACHED
P0RCR+i .MEERrs .,
2012 B. Sipple
ZIP
CONTRACTOR
4' Valley Firaplaoe, Ino.
ADDRESS t B. 16810 Sprague Ave.
DESIGNER 7eradale. nA
6, ODntrsn*or 8peo4w1ty
ADDRESS Boe VA LL SF 628 0181
0501405 OF USE FROM I00
a
HONE
922-2780
ZiP
99037
PHONE
ZIP
F
Required SatBac)<Sountn.5
NorthEan 'We
517e of Parcel Zone cNasIfIcallon
TYPO Come. I sNm...m
❑v.e ❑ o ❑R
vawan.n Bmm1n. AD m5..Ft.d
OWL. Area 1 e cement Area Gm.. Area 1 storage
SPIV Entry
561111-m01
Renew
TVP* O NEW ID ALT, 0 AD'N, 0 RPL, ❑ MVI.
7, OP WORN 0 e.0, 0 PLM[. 0 MECH: 0 KN. 0 POOL Q OTHER
b15CRI0Ew0Sk Install "Blase Prinoease lirepleoe insert.
8.
VALUATION
805
ELECTRIC
Soles
UUg1115
. 5.111, I No, 00.,, I No.
CERTIFICATE
I EXEMPTION
No Rooms I Rec. Room
Reed. �NOI RP.'d.
WAIIR
0010
I hereby cwtlly. that I hove reed ono eXelnlned Thi. e14.100tiun 01111 orve ithol the "NOT It:L 0 001,100, Inuiudul
,on revere side, and know the earns to be true 01d coroxt, All tt.0,5101111 of ,ewe 4110 nnhn6t,cas governing this
.ktype of work will b. complied with whether epeclued herein or not. 1115 granting Lit n pw nllt doe, not prSWme
to lila—girth-60k, tb'LI0I1,E'6i'Odncel the provision, of any olhal ,tato ,[ lo,3 I law 15yl,1,yfe Gpgatructlon or t
porformerice 1 dont tion, t
''d9ATESIGNATURE
VECIAL APPROVALS
RIO'S. RECD.
MIM
SPECIAL CONDITIONS:
0113 COLLECTED
Single 1
sogding
Plumbing
Mech.
Plan Check
TEPA
Moblla Nom*
Other ISpslh'1
TOTAL S
DATE 10
PERMIT NUMBER
Bas - /:7.71`L�yyf ., .
8/80
*200
.7,00 0
*200.
•000
17 ;(}g
10-09-80
6479
E