1980, 07-28 Permit: 80-281 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARAceZ
%
e
APPLICATION/PERMITTHUA.«
SPQKANE COUNTY—BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON/SPOKANE,WASHINGTON 00260/(609)4668605
DATE/ /lc-gd
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES
04•• *7.00 `
1. 000
p2S /�/ate,O�,}.. LEGAL DESCRIPTION—SEE ATTACHED •7,00 Y e
LO BLOCK SuHIhJIQl PARCEL NUMBER'S 2 g p B
2.
PH• ONE 01 ,15'80
/.LQ.e-tt( .wu _ 9.74-7.2.4fF R. 2 6479.
AIDDRESS In Feet
COIO."30zo 7),d,, fpe�a„�L 99 �. NR;nnw�.IBaISoutn Iaetn IWe
R SLB of Par., .0 a Classification
4JPR ZIP Type Const. OaxupancY Spdnkiereo •
JIO.LI.fAAL
Oyer ❑No ❑Rep,.
DESIGNER PHONE Valuation Building Area In Sq.Ft.
ADDRESS ZIP OWL Arm 'Basement/4103 Garage Arm I Storage
CHANGE OF USE FROM TO Sind Entry Spilt Level Rancher
TYPE n NEW ❑ALT. n ADM!. ❑RPL, n MVE. No.Be. NO.Flpon Na.Rooms Rec.Roam
7• WFO ❑OTHER Plot R
m.o. ❑PLMB. J$MECH: ❑M.H. ❑POOL CERTIFICATE Reno. Recp I ep q.
of EXEMPTION
D/ER
a.°2,711-6',24
VALUAgO//!/_'f'� d-Je C FEES COLLECTED
ee,Cn6iiN"LLL�I� 'S/ICe a0A5 TRIC WATER SEWER \
utilities Single $
I hereby certify that I have read and examined this application and have lead the"NW ICE"Ill uvisions included
reverseon side,and know the same to be true and correct.Al provisions of laws and ordinances governing this Builolnp •
type work will be complied with whether specified herein or not.The grantng of a tie toes not presume
to give authority to violate or cancel the provisions of any other state local law regi IaI ntrue[on or the
performance of Construction. Plumbing
I�IIO—
DATE 2D •S GNATU E _ r. , �as, 1 Mech. * 4_O
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REOD REc D Plan Check
Env.Realm
SEPA
%annlnp
Fire Marshall Mobile Home
Co.Engineer Other(Specify)
utinnes TOTAL $ � '•
inva nce 7•„"
-- WHEN MACHINE VALIDATED IN THIS SPAL4.••-
Septi cne.�aw /�/�-8D. /I THIS BECOMESPERMIT. �
may. FIpIA,.EgAralaea*,7;a., 01-11 -'6`U 28.1€" •.a*2.o412.0
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