1980, 11-23 Permit: 79-9602 Inspect T
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
is 41:2 '.4441L1:26. d. ti
"k.
1PLAN NUMBER .,610...., ,,
APPLICATILMI/PEHIMIT
SPOKANE COUNTY—BUILDING CODES DEPARTMENT p
NORTH 311 JEFFERSON/SPOKANE,WASHINGTON 992E0/Ism 450.3075
DATE
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES
03. •300
JOB ADDRESS .@.
(A') °°-'1 LEGAL DESCRIPTION—SEE ATTACHED •a o o z
'. LUT BLIZLit SIlliallYVP(r' ji ° ) 1),Q. PARCEL NUMEIER/S
DPA
•3006
2.
OWNER . PHONE E 0000 0
—
96 u14
ADDRESS ,--, ZIP Required Set Backs.In Feet
••,Q arms, ,0„,
iso.r, Twor 12-28.-7.9
4 "81/c;:k\ PHONE SINN of Pecos,
Us. D)CLI k_ (O9A-19.-Ai _ 2 6479.
• ADD SS41 tiAcial 1,..Lot ZIP TYPe Const. Occupancy SPrInklaran
qqaoa afaS 0No D ReqM.
DESIGNER
PHONE VahratIon Build!.Araa In Sq.Ft.
e.
5. ADDRESS
IIP OWL Area Basement Area Garage Alas StOrelle -
CHANGE OF USE FROM TO SpIll Entry SPIR Leval Rancher
6.
No.Barns No.Floors No.Rooms Rec.Room
7. OF
' 0 OTHER
wo„ 0 our, 0 pone. '0 NrECH. 0 M.H. 0 Po._ CERTIFILTE Ang, R.., Not R.'.
of EXEMPTION
DESCRIBE WORK
U3azoi-ZIA 0 k FEES COLLECTED
VALUATION Sourc• GAS ELECTRIC WATER SEWER
,‘:„0.t
Single 9
I hereby cattily that I llate r4
iana read anti ox.....indl this,tpdlitardr ancl luso,ent1 the idu I ll 1 .,,()roods Included
oi.leyet5e side,and know the same,li.,hre dinl t ill tvcr AII dv,,.vh,01 lily,dvd.h.MI nh h,nos/Ought)INN ,,,,,
ly,ol work will Ite coltillItinl Wills Miens,Owe ,hir.nr,,,n,, I it ,r.intirn,,i.,.,..,n r m,,, r. IIIIS0111,
IO qrvt..,tllotit tO Vio
Bu, ...
,,
d.
ot cano)1 the pidviOnix,,' Irs.d111,,, ,,.',,,i1 lorti loss intr,1.!,,,.,,,iislinnhon ni Ow
Plumbing ---
I erformance rd,RISII,C11011.
DATE SI.,NA I oiti
SPECIAL APPROVALS SPECIAL CONDITIONS:
S
7,
DEPT. REDID. REC.°.
Plan Chec —__
Enr.Health
SEPA
Nanntn9
Mobile Horne —___—
FIN.Marshall
Co.Engineer
Other(Specilyl— .
utnittas
.611:2.
TOTAL S
zone Ceoramen
Wm IV MACHINE'JAI IIJA..II`.I v I.
. SEPA CheCklIst
NIA III rznyll IS A 1•11,II I
—67—'----,e).15 n
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