1979, 12-13 Permit: 79-9006 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE
/,2///3/79
.47
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 15091456-36),
APPLICANT- COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
fla ADDRESS
94b1/ Keedadc
2.
OWNER
3, . Tao-1
et_A..'.%C1t_.44yy-3,..1L(-✓ -Lie-h
i o .4311 -rt
ac_4p41,p,•r
.fONTRBCToqyy„• pp
4.AD"�E'
DESIGNER
5. ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
ZIP
JCI r:•
PARCEL NU
sr. tea
afar
R/534.5-.9 ]/ 1Q
w. 04, 4-v. 'pc to 7-A1r_
IgbOrwArny f
Rapti,. Set Baths inFoal s
P I i 15oatl„rEast x0 IW .t.3. F
gaast s0B5-
ZIP
99 3(-
Size ci Parcel
Zone Classilicatir
iyue Const.
Occupancy
.es 050 kH0 A. .
PHONE
ZIP
Ing Area
0",4���y�'BasementArea RDae,3� 2n sa. Ft.
Area
Storage
CHANGE OF USE FROM
6.
TO
0 NEW 0 ALT. ❑ Rom. 0 RPL.
7. wono O SLO. O PLMS. 0 MECH. 0 M.H.
9B.DFfCRI!! oWWOTRK
•��C4
vi//U?; 0
❑ ru05.
❑
P"'
oo
OTHER
iearL.Af[
Split
- Entry a(yRa
7aC Lav- I ma Sa
o
CERTIFICATE
f EXEMPTION
ae e. I Rae e. 11XReo'a.
Utilities
r- GAS 'r
Dolce
QCT
ri 24'421rEWER
I hereby ce,tlly that I Neve ,ead and examined this appl,ca
on reverse side, and know the se to be true and c .
type of work will be complied with whether specrhe, r1r.
to give authority to violate ex cancel the provisions of .Illy
performance of ConStruction.
DATE //-a0-79 hn,N
and have leu the Nt1-L r d
ude
bon ,, 1, All llrovlSrOna RI EN, z �..Inr:Ilrcei sloe nil RIB
mu ol not. The .41,11Pnl of onrl dues not pre
.,the, slate u, local la, I.r ,I n ,ol,Siruct,m or the
0I0RL,eu,,,
DEPT.
SPECIAL APPROVALS
REO'D. RECD.
Em, Health
Manning
Pira MHO..
Co. enelnmr
SEPA Checklist
SPECIAL CONDITIONS:
/2/,,%
OFFI LIAL
FEES COLLECTED
Single 5
BUII0l0y lf41 Dy`
Plumbing
Mech.
Plan Check
SOPA
Mobile HOme
Other lapeelfvl
"•
TOTAL • 54
I I'7 —YOU (2 I
DATE 2 T 1
WHEN MACHINE VALIDAT D N THIS SPALL
005058ECO7 R 1