1980, 04-09 Permit: 80-3178 Inspect T _
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INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
CY:Lel- / / 4._ )2jerl:4_i
16/4
. _.
W- - �� �
.N NOMBEV. . APPLICATION/PERMIT PE��RMIT N1/MSae
+'^i* ' SPOKANE COUNTY—BUILDING CODES DEPARTMENT
- ,.ao-3/7S
'�'�.` NORTH Et JEFFERSON/SPOKANE.WASHINGTON 00200/(00SI40e'S675 DATE
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 4 COPIES 03• •300 '
JOB ADDRESS
- L E. 630
LEGAL DESCRIPTION-SEE ATTACHED •3 0 0 E
LOT
BLOCK SUBDIVISION PARCEL
NUMBER/• •3006
-1 sth
]. F e000 8
I OWNER come
3 John C. Cooks S35-943.6 Required s»B. .M F»t 3 1 7.7 s
ADDRESS5�
Same 99206 Nath ISoetn N swan 00-07-80
CONTRACTOR •- - PHONE- BIM of Pare. tom Glanitlottlon Q Q 7 9
Soft Yater Service Co. 455-9050
�• ADDRFSS LIP Ty»mnu. Oeeaa.nce Ov.r fNok1O wean.
E. 25 Third Ave. 99202 Building TheArea m 0 Rt.
DESIGNER PHONE valuation
6• ADDRESS r. ZIP OWL Area !lawman*Area Garage Area Stoma —
I. CHANGE OF USE FROM TO Split Entry I Split L.wl Rocher
a NO.Bates Il Nit.Floor. Na ,
Roam c Room
T VPE 0 NEW t,-.0 ALT. 0 AWN. 0 RPL 0 MUS.
7. menAN 0 OTHERReq..0 CLD —t 0 M
RIMe. ECN: 0 M.N. 0 POOL"- CERTIFICATE R .. R»ape r.R 'dN .
al EXEMPTION
DESCRIBE WORN FEES COLLECTED
a WaterSof
VALUATION GAS ELECTRIC WATER SEWER
g. Mil Siegle S
/
: 1)
1 hereby certify that I have read and examined this application and have read the"NotICL pi ovisions Included on e /se side,and know the same to be true and correct.All provisions of laws and ordinances governing this Bwmlng
typeofr work will be complied with whether specified herein or not.The granting of a permit does not presume
to give authority to vlbliftECBROUC0I ate provision•of any Other state criticalntel law regulating construction or the - ombirq
perfOrmarlCe of construction.
OATF� ' SOTStacir Service Co.-_
/w+J� SIGNATURE Ma.
SPECIAL APPROVALS if(MAL CONDITIONS, Ilan Check
DEPT. RUINS. REVD.
Env.Hwth •EPA 1`
planning
Mobile Home
Fire MaMaO
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Other(Spadini �{
t15111120 r TOTAL $.�d'€) a`_