1979, 12-12 Permit: 79-8608 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
I2.•)2•161 CttEcr-• fA54-AlAco'iOw lSK- (61 tam% aActiato ok)
CownaR teff (te+f war mak- It* (Atka dotNL amok
ir .
(PLAN NUMBER Mom✓ APPLICATION/PERMIT - MAT NUMBER
SPOKANE COUNTY—BUILDING CODES DEPARTMENT -— 0
NORTH 011 JEFFERSON r SPOKANE,WASHINOTON 00500 I Mel 400-9010 DATE
T� APPLICANT: COMPLETE NUMHERFIt SVAI:ES -PNES�II t.IIII IU MANE GGUPItJ C3. •800
JOBADDRESS �tw�t'� LEGAL DESCRIPTION-SEE ATTACHED 03 0 0 5 .
1. LOT BLOW,aSURolviSr PARCEL NUMBER'S Ellis •3006 _
2 OWNER PHONE B •000 8
I a Jeffery Y. Broyles 489-1810
KESS ZIP RequIretl Set Bayer In Paol 8 6 Q 7 P
ADDRESS
99216 Norm Isoele eel L.0 12-03-79
CONTRACTOR PHONE size or Parcel tie Clertinlcatlon
SO Vater Service Co. 455-8050 3 6479
ADDRESSZIP
Type connw
. Occunor RI
r.1 S. 25 Third Avenue 99202 ❑vDT. ❑No O Rowe.
i DESIGNER PHONE Valuation Buntline Area In S0.FI.
e ADDRESS —ZIP OWL Area ea..mem Area mrw•Area I scone.
CHANCE OF UM PROM ITo Spilt Entre I Split Level I Panther
I a
TVP! No.BON NO.FIRSII No.Rooms RIC.Room
0 NEW 0 ALT. 0 ADTE 0 RPL. 0 MVE. I
' WORN 0 eLO, b PLMU. 0,MECHI 0 M.M. 0 POOL O•OTHER CERTIFICATE r RM'd. Rete. plot Nee'e.
of EXEMPTION L I
DESCRIBE WORN
a Mater Softener PUS COLLECTfn
VALUATION SeYar.. GAS ELECTRIC WATER - SEWER
a. uoII1W Single S _
I I hereby certify that I lune
read and examined this appuun alio .1:l here leu the"NU , ..IU
I IL_ . .,. s leCelde,I
•
tide,end know the seine to be true and ct h�. Eulldlno
X I treverse
typo of will be complied with whether tpeCll ail l IIV 1
II �Ill �� .,Io, n�,
g ill 1 olnte Or cancel the n rio'IO U of -"�o.o.i i
Plumbing
performance
of BACHNl•I I I
1_I DTI- 1.3/19/79 .,I Soft Water Service Co ___ _ MWn.
SPECIAL APPROVALS SPECIAL CONDITIONS:
SEPT. REG'D. RECD. Plan Check
I UT.BROM
SEPA _ r
r,I WennMS G7
l Fee Marthell
Mobile Home
Co.En,iR.•r Other/Speelfy)
V Grp
Utilities TOTAL E3_
Zen.CIMNn.e
WHEN MACHINE 1
sea,.Cheeklt N[—� 6
'.-�" 9d'. -• 6Q84 E1OQ°BF
.rela_7-T9 OFP1nIAI PR��r( _
R,