1980, 01-04 Permit: M79-9042 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR TYPE OF WORK
NSEW
SET BACKS
FINAL INSPECTION:
DATE
REMARKS: ,�
•
ATION/PERMIT
— — e I a �) SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH B11 JEFFERSON / SPOKANE. WASHINGTON 99260 / 16091 AM -WS
• APPLICANT• COMPLETE NUMREHFD SPACES — PRESS 11AI9U TO MAKE 4 COPIES
JOB ADDRESS Y�
9LO K
Lo I /Awaolvrston
1.
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER'S
OWNER
.v[//P / (-
ADDRESS
//7AU 6.4.4,6,, PE %+E -•4v/ 4,/r
CONTRACTOR
4. RC.' ria . fr /A, �; i /�
DRESS
DESIGNER
8. ADDRESS
CHANGE OF USE FROM
8.
PHONE
y.�G—Ya7 p
ZIP
py,gaGNortn
Required Set Backs
In Feet
ks
East
'West
PHONE
rear -A/00
Size of oarcei zone classification
ZIP
9y..1 /
Trp. Const.
Opcopancv Swinton.
Oyes ONO 0 Rased.
PHONE
Valuation
Building Area in SR. Ft.
Zip
OWL Are•
Basement Area
Garage Area
100
SOlit Entry
Spilt Level
Rancher
TVPE ANEW 0 ALT.
7 O ❑ AD•N. ❑RPL. ❑ MVE. 0 OTHER
WORK
0 BLO. 0 PLMB. ' ❑ MECH. 0 M.H. 0 POOL
No. Baths
No. Floors
No. Rooms
Rao Room
CERTIFICATE
of EXEMPTION
Roc,. roto 30.
DESCRIBE WORK
fl
/ ALL TlonKi/
G✓O/E IL fM FY.
Sourrp
OAS
ELECTRIC
WATER
SEWER
I hereby certify that I nave bead arid a led this dpolicaliOl, sold ii Lad lire ' 1401 " �•,r,1011,
on teyeise SRW, and knowIn. s l behuecul r Ali 1 til 1avvs.1 . i10V1:1iiin•1 ii.
type mak will Be I,Dh., ,villi whetnni .h,.'',''I Ire Y Pio ant:on,• �..110. D000rlio
10 Wye 11111oidv 1 olalc ,o smut Inu 00vi.,m, 01 .111, �iitI0 , .il. Of Nicol i.5.0 .�,.i o brio ri, thi.
n•, lormance of construction. ""'' c
ii :
SPECIAL APPROVALS SPECIAL CONDITIONS:
Env. Health
Planning
Pira Merolla!!
co. Englna.r
SEPA
FEES COLLECTED
5101 S
Building
Plumbing
M.cb.
SEM
Mobil. Name
01119' 1OPIN 1171
TOTAL $ �• �''!
::a*
o74
*7.06 ea
* 7006
*000 8
80410
12-13-79
0 61979
09111NM 10111391-,,!'.- .a .d Y'-40
/��. q . ... R.YV' 0 _