1980, 01-11 Permit: 79-54 Inspect INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION: 1'2-7- ) F/11�
SET BACKS
DATE REMARKS:
1 • SO f.AL(, 1140101Akt DILA - ?fotA/ W -- K Fe_
wooit
e-
wooit Goin Be • (3c I" ctPbt?ww¢
— YUitS U a Bkra.
of c-11--
a•tnote®k- 0-14 n t.V'S
741) L thr0444he_56(Lee,I as or 0_.1 ha, 7;‘,/14
17—WE IS
AI--N
Nry �__ APPLICATION/PERMIT PERMITNUM.E —'
SPOKANE COUNTY—BUILDING CODES DEPARTMENT • _ CD ii 5 Y
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99360/15091 958.3878 DATE_—... ...—
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES 04. +700
a.cAIaGREsstj LEGAL DESCRIPTION—SEE ATTACHED.- - 1'... .7.1'50 k
1. 2 !t` : LE
• iliN •
PARCEL NUMBER'S .7005 7
2.
E *500-8-moo 8
3. 1. "1 a.. 1 _ 2N`Z
' •3 539 `
ADDRESS E IP Required Set Backs In Feet }°
2 1 • . L•2.1(0 South 01.1.0-80
c•NTn•c Classification
S } t.. 6 n. 6479.
!' AD - ZIP TTPe Coast. Daopenrr
r. Dyes Oso Sprinkler.0 Regd.
DESIGNER PHONE Valuation Imine Area In Sq.FI. .
5, ADDRESS ZIP OWL.A.ii Sesame Area 0•r•a•Area storms —
CHANGE OF USE'ADM TO SP.Entre Split
Pitt NvI Handler
7, OFPE A NEW 0 ALT. 0 AWN. 0 RPL ❑MVE. OTHER
Na.Bat. No.Flye ra No.Room. Rec.Room
el TY
woer 0 ow. 0 PLM.. eF MECH. 0 M.H. 0 POOL CERTIFICATE 0.0'O. NEof Reqd.
DESCRIBE WORE ql EXEMPTION
Q' • T.-1 ::.1
FEES COLLECTED Tlt
A UA I•N Source OAS SEWER
9. uu°nI.I
single $ d
I hereby cer lily that I have read and examined this application and have read the NOI ILL p oe siuns rclude1 /Kl)
on reverse sde,and know the ame to De true and co Teel All pruvls U s of laws and rerleiances governing Ord Bunting
type of work will be complied ith whether specified herein or not,The granting ol d permit dues not
piesorue
to glee authority to violate or cancel the provisions of any other state or local law ruf'dahllg construction or the•
plumbm
performance Of construction, ``gv-s n—_ 9
DAT% / /9�.. SIDNATURb Hw)_/.�( __ Meeh. 2=71 3 9
SPECIAL APPROVALS SPECIAL CONDITIONS:DE '
T. RED'o. REc . an PlCheck
nr
EP D
Meenn
'Pisani. SEPA
Oita Herm. Mobile Home
co.•
EnnnaN .Other lSpecihrd
yule. p0 :.
Zom wrens— TOTAL $
1 -IP"— — WHEN MACHINE VALIDATED IN THIS SPACE,
y ng•••• af.'e I / THIS tl'CONIES A Pf.MIT.
LI I O1 110 Rot _S.4" +9.09„?