1980, 01-23 Permit: 80A-9693 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
1
4Y7 -&!S "FAIMOMPF
A A
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I
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T f
-... - InLnN NUM9EF
APPLICATION
/P—E_R
IfPERMIT N MGER
SPOKANE COUNTY BUILDING CODES DEPARTMENT M self 9-
3
NORTH B11 JEFFERSONr SPOKANE,
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WASHINGTON 99260/lboel 9503075 DATE X2--3/-..Z.2.__o„• _
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 4 COPIES• e
04• +7.00
1. (a11O LE 14.µi PARCEL
DESCRIPTION-SEE ATTACHED *7.0 0 5 ,
LO I OLK SUBDIVISION NUMBER'S 96922
2.
OWNER PHONE 01-02-80
3. LAtiQcniaT E. BRooe.S .53S-3V.71
ZIP Required Sot Backs
Feet
PHONE sheen Fermi �sppthn.Classification
5679.
4. ADDRESS R .PM. Type Con,t. Gccpgeney P 9 er. a;
Dv,, ONo LI 000.0. _ _ ,r,
DESIGNER PHONE Valuation BUM.Area in Sq.Ft. .
5' ADDRESS ZIP OWL Area Basement Areal Garage Area storage -
•
CHANGE OF USE FROM TO split entry Spilt Level Rencher
COP. O N earn, 50.Floors 05.Roomsl .c.Rmm
1X NEW 0 ALT. 0 ADN. 0 RPL. 0
7 wORK 0 BLO. 0 PLM MECH. 0 MM. 0 POOL OTHER CERTIFICATE Rae a. Re a. Not Rap a.
of EXEMPTION
8. ;ENs-%-rcV-I- 4.1401) STovE FEES COLLECTED
VAL
ION
e GAS
IC WATER 1,•EWER
9 an t to s g sin
i '
hereby UpTt fy that hove reed andpeXe»IeJ this p1 't and ClTanvi read theN()TI[.L" Included -,
on s de,and know the sante to be true and .111 po >o n of la 1 Ila y the q
types of r work will be complied with whethc specifiedhe,..,or not The sgranting o /dues not p esume •i
• t gig thsi
ot ty to violate or cancel the prov' otts of any oche state O 1 ;0 J I'4I,J 'l coon the
pert r(�"/r"/ of constmetiOn. i / PIu y / .
DAItW¢e_3/.L?ZSILNATHr#I /1"eof,- ecn. 4760
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REG O. REVD. Plan Check
Env.Health 1. SEPA
•
Plennn g } -
Fire Marshall Mobile Home
Co.Engineer Other lSpecdyl
V
Utilities TOTAL S 7'OO
WHEN MACHINE VAL IDA I t 0 IN I HIS SPALL. —�
OHS IS - 'I 11101r
EPA EPA cm all.l //.2 �9 k ; � �,
1I 07 Y,(i 969.i', "7.008