1980, 09-19 Permit: 80-7967 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION: 919'- D f-/s/‘/ (er
SET BACKS
DATE REMARKS:
r4 6401
rNNNM.BR APPLICATION/PERMIT ro_77G7 "`-
(PERMIT NUMB
l
APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 3 COPIES 1 - • a
SPOKANE
0L. •1'650
.aeP DDRESS LEGAL DESCRIPTION—SEE ATTACHED •1 S 5 0 S •
t. If ELOIrT VI, --0, PARCEL NUMBSR/s D •16506
CK 754'¢—034-4'
2. �v @•`� SUBDIVISION vAU.t%r A►�n��floN , •1200 5
1 D t /'Lv lJk l'19 l'>IC;F .•.1'J 93 Actual Set Backs In FM Act 7 9 6 5 6
ADDRESS
1IIj�'' 9.014 VIcrrA bJJ2 (O N
0ath Icootnel .100 IwoI[
t�/l 07-3.1-80.
COMARACTOR �q�r+g Pr. Zona CMWrlcatlon
ROOMS,M.115 G0t1 1 , cgflgo-27,9 e7 z4 147 d 667,7.
0. a• la O)C 74- 0 ZIP 0,707 Type Coml. 1 .wnar s nnkl«.e
ry Ov.a ❑No 0 maw.
DESIIONER NE Valuation5/yam' BuildIng13 Ft.
6' ADO RESS ZIP Ma.�or Upper Floors GarageAritaStoraw -
CHANGE OF USE FROM TO or[Mkt Finn..Baseme Untln.Brownest
E' No.B No.StaIM I No.Rooms of Dweionor
TV PE O w 0 ALT. E AD•N. 0 RPL. 0 MVS. 0 OTHER o 1
T. OF VELD. 0 PLMB. 0 MECH. 0 M.N. 0 POOL CERTIFICATE Rep'd. Rae1a. rot:re.
WORN of EXEMPTION DI"' IONA I ✓ /
&
DESCRIBE WORK Ov/I�il•�/I r.X Igl�+t� 'nu'.DUt, tion(Aral FEES COLLECTED 1/.///n
1110 l SOUORCE OA IELEth'IC WATER SEWER Ownership �/UEE CODE //
g, VA �UTILITI� Public OIhivate r Single S___.
1 «`JJJ
I hereby malty that I have read and examined this application and have lead the"NOTICE"provisions included �/ Imp
on ravens side,and know the same to be Nue and correct.All provisions of laws and ndlnmtces governing Tho ,,,,,,,,n, •W1'
type of work will ba complied with whether specified herein n,not.The granting id.i unimit does not presume
to give authority to violate Or cancel the provisions of any other',Pc ni local law retaliating construction or the Plumbing
performance Of construction..SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 7:'-5i.7:'-5i.-41"415i.- -_SI(;NA IOWOF APPLICANT„..04444-//'
-'•' '+:,'_ Mech.
SPECIAL APPROVALS SPECIAL,CONDITIONS: Plan Check
NAME DATE p,e �'
, i�K1e
En.. /1,
SEPA
Donn na
Mobile Iteme
Fire Mar,h•m
t Other ISpeoifvl -
Co.E' neer '. 1 TOTAL S 1 1 KO •
FamrT nerDa
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•
1 • N