1980, 10-28 Permit: 80B-1758 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION: /t' 2 -& /43.04-(4)
ri.04, j
SET BACKS
DATE REMARKS:
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PLAN NUMe[R----1
A KATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY—BUILDING CODES DEPARTMENT MI�( — 17�Q aVt /1)
NORTH 1311 JEFFERSON/SPOKANE,WASHINGTON aegeW
0/16 )4150-31371S4150-31371S4150-31371S fl/—
/�/
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
q DRESS
Iyl aoe 5°I2'(0D4 .. P'17 LEGAL DESCRIPTION—SEE ATTACHED C4' A700
'j
LD1 BLBL LK (
SUBDIVISION
PARCEL NUMBER/5 f 7,p 01
•7.poI a OWk/ .J. KSAU✓yOE1061 A *000
8
Actual Sar Backs In Feet'a 1'57Ywoo sJp �p�0444: Nor 15001F i iLDNTR .
. er P I Zone Clemillcallon
4. ADDRESS
ZIP TypeComl. oaulaney SPrInClered 6479.
i.
DESIGNER uaOyes On, 0 R
PHONE Valtion Builalna Arm In SE Fr
ADDRESS
ZIP
on main Floor I Mop..Floors Garage Arm
I
Sto.e«LNgNOE OF USE FROM ITO
Area
Da o BaU ^Basement
NoBaths ! No.Starlet fINo.Rooms rec.elDw•IlnOaTYPE �EW ❑ALT. ❑IDN. 0RPL ❑MVE. ❑OTHER
g;:d
q'WOK :
,I ir
0 OLD. 0 PLME. ....MECH. ❑M.H. 0 POOL CERTIFICATE Rp'A. RaPot Rw'a. ._i.of EXEMPTION WORK."vr„ enumf. Loewr«1 FEES COLLECTED vVALUATION!SOU � OM I ELECTRIC WATER I SEWER P USE CODER. UTIL�IEapsh0 CFIWaN I I c /e
Own
I hereby certify that I have read and examined this application arid have read the"NOTICE"provisions included Sive $
on reverse side and knowothe same to be true and correct,Al,provisions of laws and ordinances governing this
s of work ill beplied with whether spa diad herein or not.The granting of.1 permit does not presume Buna
aev
authority to folate or cancel the provisions of any other state or local law
Ilea of construction.SEE REVERSE SIDE I0R REQUIRED INSPECTIONBragulat ng construction or the
2 .yt
,.. NNMMa
�x DATE OF APPLICATION/O'-'9 -- / SIGNATURE OF APPLICANT • 7r p0
SPECIAL APPROVALS MMR
SPECIAL CONDITIONS;
NAME GATE
.�,E r.Health Plan Check t:
Rimming
F M Nk.11 y_ sem �r ?;'
alnex y313u�' ,II. Mobile Moms
Inge. - °• �1PHjrr; OlMrlepeclfyl
P:
...
OqAa"'"
NahaEMlnMa -.. M.
'*. TOTAL FWPM I
,
WHEN MACHINE VALIDATED IN THIS SPACE, I.
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4.