1979, 12-04 Permit: 79-8010 Inspect 1.11.111111111.1111
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION: /Z.- 4-2 "--hit
ID SET BACKS
DATE REMARKS:
`2.- 9-7C9 119cL e-h 4 axik-srlgyJdLL C 7Z
7
°""NDaEa A
L. MPPLICATION/PERMIT PERMIT NUMBER ••SPOKANE COUNTY—BUILDING CODES DEPARTMENT •
M79 �n
NORM 011 JEPF[R[ON//FONANE,WAIMINOTON 05250/Mill 4N.SEIe
DATE
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES r
0 • •7004
• JOB ADDRESS
Ii�y
t' LOT IeL0L N B VISIOA' "T`7��19 LEGAL DESCRIPTION—SEE ATTACHED •700 5 -
OC I u PARCEL NUMBERS " 8009a
2.
OWN HONE I1-16-79
• 3. w �1,6 '(0fg4110 ,1�A.
A•awma Sal e. .In F.a I 6479,
Ap�1RRRJJJ��SC1Tor. r+ i>� 6 Yepgih t�«"
CO T�A�Ttgl of Parcel
mOlewRlr
4' /WORM^'I ZIP Taft*Const, oaaumner SPnnkMrad
❑Vet ONe ORp,e.
• DeaION[R PROM Valuation Building Area In Ilio FL
6' ADOREES ZIP OWL Area IbaNmenI Area derma Arm � BI
a CHANGE OF USE FROM ITO Split Entry I Split Laval Rananer
eF m Esu �� N ❑RPL. ❑!AVE.ECM:
Baths No.oleos Na.Roomr I Rea.Roam
' WORM ❑BLD. 0 PLMB. 13rrECH: ❑M.H. ❑POOL ❑ornon CERTIFICATE I- Raaa. P.A. gaol Ree'a.
of EXEMPTION
I "SS IIIY/1 ra , Ir4 c((pKal r I5LIECiRIC WATER SEWER
PEES COLLECTED
�, UAAATTT III OOONN Utliines !
Single !
I homily r..v that I have reed and examined this application end have read the"NOTICE'provisions included
on reverse ode,antl A m,,.. me some to be true end correct.All provolone of laws end ordinances governing this Bulking
o typo of work will IX:,.,rolmsl with whether specified herein or not.The granting of n permit does not presume
to give authority 1n emote or won the provisions of any other state or local law regulating co MruBtt or the
performance of rnnSIDICSIOn� NMMIrp
DATE bbl 1_.I. SII:NATURF __'llY\lM �
a/eoh.
SPECIAL APPROVALS AlCIAL CONDITIONS:
DEPT. REP O. AEC.
Plan Check
SEPA
F,.•Marshall Mobile Home
Co.Enronwr Other(Specify)
unrMw. TOTAL Ss.•
Zona°Iowan..
_ WHONMWaif.,ACHINWaif.,D IN BHI;.
SEPACneakllat . ( MISBECOMES APEomlt
°ATP /G ••�� �� 111'46-79 801(G. .7.00°,,'