1980, 01-17 Permit: M79-9248 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE
/-17•10
REMARKS:
Dec r lU c R ,4 .j ,
�P� UMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEF FE RSON / SPOKANE. WASHINGTON 99260 / 15091 456 3676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS IIARD TO MAKE 4 COPIES
1. 1774, F /7 Cr.
<� LBLR Su sO
OWNEq,
3, )4 .
VFAa4 Le"
LEGAL DESCRIPTION — SEE ATTACHED
4. 4/RTR! ,,,j /476
S//3 Bio ('e/J6s: T./aw� o
PARCEL NUMBER'S
PHONE
.Ra:..unlred Set Illatlnvth Feet of
4
6.
DESIGNER
49�¢
PHONE
!Welt
Sim of Parcel Zone ClassOlcalion
Type Con.
Occupane.
Building
Valuation
SPrinal«ea
Dyes ONo 0 Rw a.
ADDRESE
ZIP
DwL Arm
Batement Arm Owe. Area
Storage
CHANGE OF USE PROM
6.
TO
413111 Entry
513111 Level
Ranch*,
TYPE 0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
' woRo 0 SLO. 0 PLMO. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. FIaoN
No. Rooms
Asc. Room
CERTIFICATE [ Panto.
of EXEMPTION
Roc d. Plot Ra0'a.
DESCRIBE wORIA ,
8. SST7fGc.VALUATION
E•Z-�C.
9.
Smite
UtPlitios
OAS
ELECTRIC
WATER
SEWER
I hereby certify that I have read and examined this application and have read the "NOTILL' provisions included
on reverse
side, and know the same to be true and correct. All provisions of laws and nulmances governing this
type ofwork will be complied with whether specified herein or not. The granting of a ,1 does not presume
to give authority to violate or cancel the provisions of any other state or local law regul:ring construction or the
performance of construction.
7y
SIGNATURE
SPECIAL APPROVALS
DEPT.
Eny. Hearth
manning
,F11.• Marehall
Co. Engineer
UtilltieS
Zone C
SERA Checklist
SPECIAL CONDITIONS:
FEES COLLECTED
S'rlSl. f_11•
Building
Plumbing
V- Mech.
N
PN C1 k
SEPA
I.MoEile Home
Omer (Specify/
TOTAL S
7'%
DATE
on. +7.00
•%00
•7.:008
E 1000 8
920.78
12-18-79
8 6479.
WHFN MACHINE VA('OA n IN