1980, 06-18 Permit: 80-5539 Inspect T
INSPECTION RECORD
LOCATION
OWNER
TYPE OF WORK
CONTRACTOR
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
/0".P„/ w %r
•44 .4/4
L
gefiWaRA
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7
UMBER APPLICATION/PERMIT PERMIT NUMBER (
SPOKANE COUNTY—BUILDING CODES DEPARTMENT gI L /
NORTH III JEFFERSON/SPOKANE.WAm11NOTON nano/IRn1.66387E
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES
.1013 OSO5�R�ESS yy •
E.
1"aLui.0 t su LEGAL DESCRIPTION-SEE ATTACHED
IVISION PARCELNUMBER/S „c •20400
2 •
1. 4 r I eu Revfous Addition •20200 6
OWNER PHONE
Larry PePIInSkir alar. 928F6090 W.j_gspy .20400K
ADORERS �Q'92l4 Actual sal imamm FootF •0 00 0
P.O. Box 14410 Spokane, Nn. North G"1 ISouth O' H IV LevLev5'
CONTRACTOR PHONE Sim `S
f Pare. a CNMIllmtlon r L 2 1 2
o
Same Bp y -S.14 Single ttam ily
ADORE ZIP Typo Conn. Occupancy sMmklxm 06-05N 89,SLt:i
CAnsw DESIGNER PHONE Vtlwaoen Single ,1100 ONon SO.Ft. a 6474
e' ADDRESS ZIP M. 4 94115631/500 BuIna1016 .8
AMR In Floor PPM Floors Gloom ArmStoMo.
CHANGE OF USE FROM TO Arm of Deem Finished .mm.nt UnfIn.Bamm.nt
e.
TYPE IX nEw 0 ALT. ❑AGN ❑RPL 0 AWE.
No.Bath. I No.Stor1lm No.R.olrm. No.et i wN nP
7. OF
0 OTHER 1 or
RK O BLO. 0 PLO. 0 MECH 0 MH 0 POOL CERTIFICATE RaWd. Roca rot
m EKEMRION
DESCRIER WORK • Enu OI. rm
`
l.n(A )
a Single family residence FEES COLLECTED
VAL ATIDN SOURCE OAS ELECTRIC WATER SEWER Ownarshl. USE CODE
9. S SEPTIC. Public 0 Privet.NINlrol. s
I hereby certify ISM I 1 I rhes st I.. 1 "All I ' S Included
on HUM
side. 1 know h ivy r governing this {{��
typ.aof work will he co Pd W1111 Lv 1 q1 P I ..,,,,Ant, SOIMIn. Y'jIX.,oe
to give authority to viulale I„I.,{111A II1Y I:,oV,glnns„ <nth., 1,,.al .,w n„ „ vtruplun v,Itthe
performance of construction SEE
//REVERSE SIDE FOR REQUIRED tNIIIECTIONS ///JJJ Plumbing
DATE OF APPLICATION... ._ .. s1,'Nnl 111111 .,i n_,,f WO.
!PHIAL APPROVALS KEOIAL CONDITIONS:
NAME DATE PIN ChEek
n.. I
.e Magnan
"---R.FWS. v'Y ww F It_
Mobile Herne
r'APFRsiliCli PPr1 JO 1I Q1iIRI " Other iso.1101
IPL .Ulllil --- Canlac!Count?t,lgb,. 4G ..—�—�
:,i}!'I:. u.oa ,
---1 'TOTAL 246,-66T
-� _. �.