1980, 11-17 Permit: G80B-3271 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE
RFMARKC-
F Nor `R —1 ADZE IrATEnuiDWOUIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH[It, EFFERSON/S—ANE,WASH I NOTON/0200/IaW1as6BaTa
APPLICANT S COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 3 COPIES
.oe A "Ess
;7/6LEGAL DESCRIPTION -SEE ATTACHED
t. /160
WHUNE
PARCEL NUMEERA
2
AD [S3 CI �P T '49 rtes • WtIn FM
,CTO - PHONE Sita OI Parts ion. castaneatlon
4. � a - 93b-iioo lee—It S11 «ea
AD alio Z. �, a �a �197i 6 «awn T o..a 0.1. kI❑ R.e'p.
DESIGNER PHONE VHuatlon 11 mine Area In Sp. Ft.
S' ADOREss P .m Floor I upp. I,— Dart. Ar• sane•
CHANGE OF Ut! FROM Area o Deck, I Flnhh•e —m•nt I Unnn. B.wment
__ 0 NEW 0 ALT. 0 AD -N. 0 RPL 0 MV E. No. Bathe Np. —as o. Reoma No. 11 Dw line.
7. wo AR 0 OLD. ❑ hM1. 0 MECH. ❑ M.N. ❑Pool ❑ OTHER CERTIFICATE Rep a. .Pa t pa.
or EXEMPTION
cRI [ n / loom. out. punpn taea) FEEECOLLECTEO
& .V a+G-
OvRC[ 1A1 lLtCT C WATER SIWLR Own•rMlp W[COD[
9. 11TILITIlt h.11. ❑ PrIv.N ❑ 91NH =
I hereby c.rtlfy that I have I.ad and m—d III,, appllcanun and h.va Intd the "NOTICE" In oviaionl includetl
canraven• side, .n.d know the s.m. In ba nue and cr—,-I An nrnvlNum nI laws and of dinam:.. governing this uhcIR.
type o1 wolk will be complied with whether III herein o not, The glanhng of a pellnil does not pr.wme
to give wthority to violate or cancel ,a III— n. if any other slate OI local law npdnn��u I:onstruetion Or the
P,,
form if)*
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTTIIIOO�N-"$�/f�f�/J,� Numbing
DATE OF APPLICATION J0 "31_'� SIGNATURE Oh APPLICANT J�'f" 44_ IIMM• 9-00
1PLCIAL APPROVALS MECIAL CONDITION:
NAME DATE Nen Check
n.. u I WA
Mobile Home
V Other ISpecitl
.r rn . %"o
p4. •7.00
.7.pp G
-7006
A +000 E
5270E
01-15-R0
i 6479.