1980, 09-23 Permit: 80-7964 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE° REMA G %
.._
7 IPLAN NURISER .
APPLICATION/PERMIT . . .
PERYAIT NUMBER -Aus -Utra'-essMIMEIP
. . talEMInIMETRA..2_,._.!
Nt-212.----7-1.ke I
SPOKANE COUNTY-BUILDING CODES DEPARTMENT
NORTH Oil JEFFERSOg/SliIKANE,WASHINGTON 99260/1609I 46E3615 .
APPLICANT: COMPLETE NUMBERED SPACES -PlIF:.''I I ARD TO MAKE 3 COPIES
1 JOB ADDRESS .5 5 0 .
1. szr,),?/d s.-(,-',ZGet.-..--,e-e--." LEGAL DESCRIPTION—SEE ATTACHED
LO I BLOCK USIDIVISION PARCEL NUMBER'S
2. •‘..,.5 0 ej
---(r 4,4•,..e,-,ecy '..',,7-?/5s- •GOG S
1.ADORES —4-1-' SIP Actual Set Backs In Feet
.,./9.-/LAtrear9..-4../ te,-e 7 ,,,,„,,, 'so,. I •
CONTRACTOR PHONE Size of ParCal ';:ne Ciamilicatiwon" -'..1-79 0
A 0 7 q
4. ADDRESS ZIP TYPO Con. Occuparsult Sprinkler.
Oyes ONts 0 Res, A.
DESIGNER PHONE A...Pun Building Area In SO.ET
e
5. ADDRESS ZIP Main EVA. LIPON PRA., Gere AA. Stuteee
CHANGE OF USE FROM TO Atka oil DIEM FINE.Onensent Unlin.Basement
a i•
' Ino.Baths No.SIwies 1 NA Roam. INA of Dwelling, .
7.
TYPE 0 NEW 0 ALT. 0 ADAC 0 RPL. 0 MVE. 0 OT„.„,
•
1 wwww 0 Rog. j‘PLnes. 0 MECH. Dv.,. 0 POOL CERTIFICATE Pastel Reed. rot Rend.
of EXEMPTION
CIESCRNIE WORE '''''.''". `°""*"°Sr..) FEES COLLECTED
8. c-Ya.e.e.4-7c./>•igu--e-- --,-e-t-/
A•
VALUATION SOURC OAS ECT RIC WATER SEWER ownowmb USE COCIE
9, LITICITIES Public 00,10.1.0
Single S A
I hereby earthy that I have reed and cnonmnol III,.,,,,,,,,,, ' ,..' .•..111.' ,. .,,,,,,1‘111111 4.1,111011
On reverse side,end know the same to be nee......I..... ' ...1 L.-...“,,,1,, .L,', ,i ,,,,,,,V.41,,,III, .,,,,,,,,,,,
type of work will be cornpl.ed 10111 WI lilt!.0.,,;fi, .,,,,,,.r.'! ,
,11,1.11''I . . loo,..1.1 ore,,,,,,
III give aethor.ty...elolote 0101011(1 ma...,01111.1111.. ,11,'01,' 1.l• .1,,,,i IA,,,,i. ,, III,101011,,.11,
perfotinence of co...et...SEE REVERSE SIDE 1011 IILQUIFILD INSI'LCTIONS Plurnining -lad--
HATE OF APPLICATION .77:7V e_4'' P .
!__. , ,,,,ItIll. ,. rI
SPECIAL APPROVALS SP CAL CONDITIONS:
NAIVE DATE Plan Check
SEPA -
.4r'''' •
Mobile Horn.
N'IPS•
CO.E11,41/10.1 0010,ISplEINI
---EI .IMII.
L.."... ....
TOTAL $5 < ,
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