1980, 05-27 Permit: 80-4094 Inspect 7
INSPECTION RECORD
WNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:,
c.• 2,)-CtO 717
•
PLAN aUMRER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY—BUILDING CODES DEPARTMENT PO 4l09¢ / (�/
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99280/18091086.3678 �%
APPI CAN I Ctlf,', L' ,. I1013E','.I' ' .JOB ADORESS
/Up /171 L/j141--. LEGAL DESCRIPTION—SEE ATTACHED t'°e ' 0 0
I aT � elf ,ll Is10N PARCEL NUMBER/5 0,.0 0 N
2 /T I a077
PHONE
^1 �4YJidder�F[J•
9.24-3142 Od-29-80
3' 0 al Set Back.m Feet
99-2 /3rL,CL.It- 3>O�tu,�,Fu. g9ao1 No„,
'South Iaat 'WWI6479.
CO[1TRAC OR PHONE Slae of Parcel Zone 0100Rutlon
d. Y1Pq sssL ZIP Tope CaneOccupancy e
7d e I ❑v.. ONo klo R
1 EOO
5' M ITO Area of Oaeke Finished Basement I Unfin,Basement
8.
j Marlin No.Rooms (No.of Dwalllnas
6 7. OF 0 NEW 0 ALT. 0 AG'N. 0 RPL. 0 MVS. OTHER Na.Rams I No.B
•1 WORN 0 OLD. 0 PLIAS. IX MECH. 0 M.H. 0 POOL CERTIFICATE RP, Rae O. rot RM'd.
of EXEMPTION
R ..,..7.;,:c7:7„... yi/I.WMU,� EwEEnum.Diet Location IAnM
FEES COLL/CTEO
ATOON OCES 70
/ ELECTRIC a(wLTUSE OOOE
D. PubscOPrnae
0 SinOse f
1 hetet,Lel Cly that I have read and a .e1 II... el .,,kl li in
n 1FVNW sine.,iiiti know the same in he t 1. ,.,,
type of wok will he complied with wheel.I,VII Building
In I anthni ily t inlate n rel IIm 0 '
Ewe n v I cancel „ .I. �.I,ISI. .I
,,,II ..,e,l,Of rhl1I ,,i...SEE REVERSE GIDE FOP PEOI,I l,r• A"I('.f 1(IN.S Plvmbin9
O
,AIL.,.,,,.,I,, n ln,/1-29—P� X T/j//( Meen. ��
SPECIAL APPROVALS SPECIAL CONDITIONS:NAME PATE peen Check PATE.
SEPA
/
1F ' Mobile Home
276;,,...... -_-----111Other(Specify) l