1980, 01-28 Permit: 80A-9959 Inspect r
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
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04- .. ,
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•
APPLICATION/PERMIT ,PERMIT NUMB KK
SPOKANE COUNTY—BUILDING CODES DEPARTMEN? • `�_q NSS
w.... NORTH Sll JEFFERSON/SPOKANE.WASHINGTON 99260/16091 460.3676 ,
•
DATE ~
k APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 4 COPIES 04e .7.00
.I 1 BAEq
�+N LEGAL DESCRIPTION-SEE ATTACHED •700
>d� i1I?/o saxLTvlsIDN PARCEL NUMBER/s *7008
I 2.
WNER PHONE
a oBRucE HiLTpANL_ 9,76-6-605- 99582 Backs Feet
t
N '0008
9ciA L'AMP6ELL g9. 99a 7 lcm
Seniwest
01-09-80
PHONE Size of Parcel ne Claret!cation'
4. A-IHEATfA44AR/coAD 1. x-958
6479.
ADDRESS Tree const. occueaecv Sermkerea —
Fs SSER EfLE .2of ales ❑No ❑Rep,.
PHONE Valuation Building
Area In Sp.FL
5. ADDRESS ZIP DWL Area IBaroment Area Daum.Area Storms —
CHANGE OF USE FROM
• TO Split Entry Spill Level Rancher
8
p NEW 0 ALT.
❑ACIW. ❑RPL. ❑MVE. OTHER NoBtaNo.FIB., No.Roms qac.Rom
7. OF
0 BLD, ❑PLMB. yOa NECK ❑MH. ❑POOL CERTIFICATE Reg a. Reed. of Req
,e,
of EXEMPTIONi I
DESCRIBE WORK .
a IAISTALL-,pi.1,Z 1611n Aa T HG n1Tj En...IFI"yt701Ql1 :: i
�rE
.ii I hereby certify that I have lead and examined this application and nave read the"NU I ICL"'pluvlsions Included
V de,and know the same to be[rue and correct.All provisions krl hlr
ions of laws and u ,rnces
n i reverse side,
uwall Iwo governing this Building
InpneU Willi wholhel specified herein ul not.The glanhnq til u p I clues not presume
is to give authority to violate or cannel the provisions of any other state or local law repul,,,rul rnnstruction or the
1{ performance of construction. Plumbing
+ DATE_ SIGNATURE •---- —�--
• Mee,
1"-.1DEQ. SPECIALAPPROVALSSPECIAL CONDITIONS:
Wrenn
Check
Env,Hnn R REC O.
[ il Nammne SEPA _+_
,,y,, FUe MaNnall MORIN Horne —
ff.. UnUnea.ear Other(Speenvl �.
M
.1,' Zone Clearance p.p. » TOTAL 5 7.DD 1_9,_GS. -'--"
a WHEN MACHINE VAI IDAI,D A
IN IWIS SP..
Jeg SEPA Cneclrllat
_ r-. i1 THIS ULCME6S A wpm!I J
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