1980, 08-20 Permit: 80-686 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WS/BIC---e
N S E W FINAL INSPECTION: )` I
SET BACKS
DATE REMARKS:/,
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G Gh c f /-e, /7/ 'A �i�� < /A f /ems / S!� fG_
! N MBCR
F PARTMENT 80- 6 8 la
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/15091 45E3676 DATE
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES U 4. a 7.00 ,
•ADORI!
I. / /OJ 6 ,,AfIUC., CreevreyepNS PARCEL LEGAL DESCRIPTION—SEE ATTACHED �T�O �'
•IOC�IsolDtonlbR LNUMBER/a •7,006
K
OW A ONE E •0D0 8
a �°qy,I.33€o/d I. DA via 7aP-�.Z4at 6S5 E
B.%Y%o,.5 Sp.Qqpg 20390/6 R•galr.e gel E.1 F«I CI1-29.-80
CONTRACTOR PHONE Sizeo Ispum
Size m Parcel ion.cL.an«uo�al E 6479. ..'
SREVE!
+' AOORE88 ZIP Type COmt. OONuPnoy Sprinkler.
❑yea 0N 0 Rm'd.
DESIGNER PHONE Valuation •ulldlny Ars..In SO.Ft.
6. ADDRESS __ ZIP OWL Area IEasement Arm Garan AreaI Etom. _
•
CHANGE OF USE FROM TO Split MARY SEW .«I Rancher
NO.Batty. I No.Floor. No.Rooms l Nal Room
tr:: T o:PE Jb NEW 0 ALT. ❑ACI N. 0 RPL. ❑MVE. Q OTHER
�'• WORK ❑SLO. 0 KM•. IMICH: 0 M.N. ❑POOL CERTIFICATE 0194. I R d. pJ01 R«'d.
Dl6CRI6! RK / I, Of EXEMPTION
8. S/AI/A/OA Of �/YA�f/ Ocmcsle• /P 1/4QG FEES COLLECTED
vALUATION seurc. OAS ELECTRIC WATER LOWER
B. �`�ea uuiule.
-: ::::1,
myl. 6 _
I hereby cattily that I have road and examined this application and have read the"NOTICE"provisions included
side.and know the same to be true and correct All s of laws and ordlna•:^es governing this EuIMIrM
0
type ofr work will be complied with whether specified herein• not.ISl'e granting of a permi oes not presume
to give authority to violate or cancel the provisions of any of:r state or oval law regulating.,1v[ruction or the Numbing
performanceaof construction. `
DATE_/«.Q/JO SIGNATORE �I // �• _ I Mach. ��
SPECIAL APPROVALS SPECIAL CONOITOMI:
D EPT. R!O'D. RECD. Nen Chock
E nY.IMMO 4164 A
)/ SEPA
Ftra Mars.. �- Mobile Hans
•-
Co.Enotn«r Other lSpeciln
Utlllnea TOTAL S /IJ
,e________-,
Zolfo F a Sao.. WHEN MACHINE VALK.rED IN THIS Sr
I 4