1980, 10-20 Permit: 80-9558 Inspect •
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S : E W FINAL INSPECTION: ( � DW '-G'
SET BACKS
DATE REMARKS:
fi mbu 4- "u1t
ed-"M
•
F -
PLAN NUMBER '
APPLICATION/PERMIT FEnmIT NUMBER
SPOKANE COUNTY—BUILDING CODES DEPARTMENT M 80 4x56 . .�i�
NORTH 811 JEFFERSON/SPOKANE.,wASHINC!CR IMMO/1E0E1 468-313713
•
JAPPLICANT, COMPLETE NUMBERED SPACES-PATS,.HARD TO MAKE 3 COPIES
'bSnDORESS 04• •7.00
I.
G, / TN
LEGAL DESCRIPTION-SEE ATTACHED •7 0 0 F
LOT ELOCK SU80�ISION PARCEL NUMBERS
2 D557d
ONE 09-04-B0+
. a f/N.e?UJ L. .S .,TZEv¢ 9251-962,
ADDRESS ZIP Actual Set Rams50Rte m Fmt Q 4 7 9.
CONTRACTOR PHONE �e of Parcel r. 1ZOO.ClattlNM int lrl
on
4.
ADDRESS ZIP TOM Conn. bn S WW
�e/lJT Iccu
D Over Oise u 17 n«...
DESIGNER PHONE Valuation Rolm..Ara In Sq.Ft.
a ADDRESS ZIP Mon Floor Upper Floors Gomm Area St
• CHANGE OF USE PROM ITO Area et Decks Pleimm Ememeef Vnlln.E.Wment
a
TYPE lE NEW ❑ALr. ❑AWN. ❑RFL. ❑MVS. No.Bathe I no.Stories
'
No.Room of Dwellings
7. of ,./ • U OTHER
WORB 0 SLD. 0 PLM& ID MEOH, 0 M.H. 0 POOL CERTIFICATE Reek.. ReIc`
'e. r.Re5'0.
el EXEMPTION
DESCRIES WORN [num.01.1. Lo01100 IAmal
a � _ -5..1,a
VA r FEES COLLECTED
F
� J /
:' SOUR'E GAS ELECTRIC WATER SEWeNelo WE COOS p
0. WIE
I ITe NOIN®%Ive❑ Seals $ //
I hereby certify that I have read and examined this apple:atom nova road the 9vu I IC pmEdom IDCIUded 1V,
on reverse aide,and know the awe to ba tole and c41E41.All pnNISlons of laws owl ordinmwq vtweminv thi. &Plaine
NM of work will be complied with wheth.r.p.allled HOIST 01 1101,111.granting of..nntmlt dm nor 011Mm.
to Rim authority to violet.or enm.I Ill.orovdlonm of env 0the1 siva Of 100E1 low rP$.Ialntq construction Or the
performance of construction,SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing 1FK �e, ,
DATE OF APPLICATION Q ii,v SIGNATURE UI APPLICANT __ Mak. 7•�
SPECIAL APROVALU E►/CIAL CONDITIONS:
NAME DATE Pim Check
Mein,H«110 -,- .t e....i'".AYt'sY^M
��� _.._
'EPA
t.Manama
nnnMMEW.Home 1 ,i
Tie 1000. - Other lWWllvl
TOTAL s 7
WHEN MACHINE VALIDATED IN THIS SPA'P
•
1