1980, 03-12 Permit: 80-1896 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
r/AV
41-72
IPLAN NUMBER I APPLICATION/PERMIT
PEHMir nuMeeR
SPOKANE COUNTY—BUILDING CODES DEPARTMENT =I&�D-Iegl�
NORTH PI I JECCE PROM 1 SPOKANE,WARHINOTON P120O I Ina,ett9Ot
APPLICANT- COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES DATE
.foeADOREss 04+ •9.CO
1.
///41 �9� LEGAL DESCRIPTION—SEE ATTACHED +9.00 B
LOT I BLOLR ISIREDIVISIUN PARCEL NVMBER/!
• Z
OWNER -.
Art, ( +Q
a R. SIA
PHONE T E
ADDRESS
of/e 9ay�c�s— _ 00S
�61�o s
Eswvhm sa B.'�.m Lt
CONTA::-.2.9wAie-
a3 e_ /feeFool-
T4.0204, north =pRtF ..,.
eM.er..rPP 'o00Cla.R0200oo 03.-07-80-
• ..10.00
DD �r1"9-ii7o s aaTa-
DEv 8 37o 7 9aao p.Cong. I cpp.n.
OTOS opo`a a.e'.. ,.— ;
PHONE Valuation •outline Arm In So.rt. // V' .r,
I ADDRESS ill DWL Area IeeNmenl Arm Oarem Area I Mora. ` t"
CHANGE OI NeISSw
PROM
ITO tout EnIrV I tent owl I Rancher
TVpE NCW ❑ALT. ❑AO'N. O RPL. ❑MVO. No.bath* I no.Pleorr. No.Rooms Roc.Room ..41 r W'
T. Or n I Il '.•
WOR, O ELO. ❑PLM S. �MECW OT.EN' C POOL 7,-M-"IH" __ CERTIr',CAT:. f R.N. {.In O. r......../E%EMPTION
•
OE[CRIEL WORK J[' _ �/ .! I
r- �1letef (/Jjjj���{{{ ICES COLLECTED
VALUATION UMW.
-T'71.En1(ewAT I
Q EB SEWER
I hereby artily that I have road and teaminad thio Single E 4
on acolkati _l pr hare o laws a d ordinance,
provision!ling this
sideµand kc odwn Me lime fo be true and correct.All pralalone of laws and ordinancm Rovernlrp[his - I
typeeolrwork ill M pllatl wllh whether specified herein or,not Tha SrantlnS of a permit does n t Su1MIM 't11`
.p yve authority to violate b.once,the p„,,,r_ oo=Any In or Frt. Or loon laW a ,stein ° preefume
performance of construction. r 9u q constructlpn the Plumbing _
DATE - .. -'SIGNATURE 90()
Meth.
eyDEPTSPECIAL APPROVALS SPECIAL CONDITION.,
Env.Health
1/0,00etST/( Pian Cheek �rfj.
MottlingsEPA Q
Fire
Home
ire Merman
_-__.
Co.teres. •tel.Ion
Utilities
Olar ItlowItvl +
UFCO D `E$1�bFr.� MHINMACHINE VALIDATED IN THIS SPACE, Jr