1980, 11-20 Permit: 80A-9975 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
rr 67'4
et-nn nMlfEn tar,.. �
APPLICATION/PERMIT PERMIT NUMBER
•
SPOKANE COUNTY—BUILDING CODES DEPARTMENT ," o qi$
NORTH a1)JEFFERSON/SPOKANE.WASHINGTON 99260/15091056.06)5 DATE
f- APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES
f, C4+ •700
t Joe ADDRESS�l1l 1ty' 1{ U LEGAL DESCRIPTION—SEE ATTACHED .700 6
LOT BLOCK ISUBDiO15119 O PARCEL NUMBERS
x7.000
OWNER tr lr1Tul Jt/.. �Qg. .[a_aoEo PHONE
+600
3' Respired set Backs I�ee99742
.
ADORES
�1�'JvVL PH E size et Parcel 'South t ons ClasRnralon`t U1-09-80
e. eT.eft `t4 a 534-49Ke 2 6479.
C SO UTno P492.0b P.Genal D�aPaRgy Oyes onoxl0Aeeld.
DESIGNER
5• ADDRESS ZIP NEBuilding
OWL Area Basement Ar raA
ge m I Se'storage
CHANGE OF USE FROM TO Spilt Entry Spilt Legal Rancher
No.Baths
TYPE O NEW ❑ALT. ❑AWN. CIRPL. ❑*AVE
no. loon No.Rooms Rec.Room
T• OF WORN BLD. ❑PLMs. ❑MECH: ❑M.H. ❑POOL D OTHER CERTIFICATE [Rased. Reale. 101 Reo'o.
'I DESCRIBE q` _ (1 f of EXEMPTION
8• WO CTY.1]A.De,sY� . 1 �n[t LLLfff���Mp1L Q_ FEES COLLECTED
VALUATION ge 11 GAB LECTsaIL. I WATER SEWER
B. Utllltlea ,/y`at`a) I Single S
I hereby certify that I Have reed and examined this application end have read the"NUI ILL"pi uvisiuns Included
reverseon side,and know the Some Io be true and correct.All provisions of laws and urdlndllcuv governing this Building
.1; type ofwork will be complied with whether specified herein or not The granting of a henna does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
Plumbing
performance of ConstNGTlon.
-
UAIL SIGNATURE_ - - __�._a kr"'•aBH
Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS: `
aEPi. REG'D. REc D. Plan Check
k Ena..Mtn
SEPA
-
' Plenning --_
Fbe Marshall Mobile'Home I�iJ
a`10o.Engineer Omer ISpecityl
C70
ZOOd TOTAL SJ_e
ClearaOP. _ Sr
SEPA Mock -. see. WHENMACHINEVALIUA f NTHIS SPA r
THIS IIEf.OMESAPERMIT rv�.�• •'/I •�ynn a