1980, 02-08 Permit: 79-8708 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARK
4
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3 N°MBER APPLICATION/PERMITAA PEMR,( $ I )
SPOKANE COUNTY—BUILDING CODES DEPARTMENT /", �t
.� A NORTH 611 JEFFERSON/SPOKANE WASHINGTON 09260/15001056-3272 DATE"
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 4 COPIES _
04. .7.(10JOB ADDRESO
{� /� //�� LEGAL DESCRIPTION-SEE ATTACHED
LOT vitae( 37TH. Al)G. PARCEL +7.00 S f
z. /i7a6 UMBER/5 .7.03/
` PHONE E .000 8'
E 3. OWNER Co. 2g5?-1141f sL a'1 yF
870,3 k
DOb 11IAg 30TH.AOC. 9iao6 NorthreOnaeic'South kint JAHR 12-05-7.9 f
CON CTOR WIT-
SIR.of Parcel ton.ClassItlwtlon
Sr Q(n FORT Nfr Efl IMM 4 A Ic �F IT-1444 3 6479.
DEZ� (] Typo Conti. Occppanar
s. `3011 433,CvtSITH Rn. : 2O lD valuation 10la'�g oao^o.A.e'e.
6' ADDRESS ZIP NE DwL Area Basement Area((Drag.Arse 6 stony. -
CHANGE Of USE FROM TO Sent Entry Sent Level Pone.
r
No.Bath. I No.Floors j No.Rooms
I .c.Room
' ❑NEW ❑ALT. ❑q('N. ❑RPL. ❑M WORlt 0 BLD. 0 1,1411. 0 MEC,: 0 M.H. 0 POOL 0 OTHER CERTIFICATE R.e a. Roc,R Plot RHOS.
of EXEMPTION
DESCRIBE WORT( FEES COLLECTED
a i irTt,',I(e K r oR F tf.f_TRIC FUn111c fsEwER . —
yqL ATl QI
9. Ut ter 5 I EL wnTRSingle E
1 hereby certify that I have read and examined this application and have read the"NO I ICL /1 ovluons included • -
tyeeofr wosrk de,walndbe kcnomw ptlheed swme twohebtehetrrusepeacndf iecdorhreercet n Aoll pnrootv sTion gorafnltainwq oafnd oprid l nI dceosesgonvoetrn(neqve thnes Building
Eo give authority to violate or cancel the provisions of any other state or local law rertolatdir,ronmortion or the --.--.
Plumbin
performance of construction. e
-_ 4[[AO . e-'4e
SIGNATURE
____ _ ---
C--;)
SPECIAL APPROVALS SPECIAL CONDITIONS: _.-7...
DEPT. REG'°. RECO. Plan Check
Hoo
P Dnnmy len SEPA
F.Marsaall Mobile Home
Co.Engineer Other ISPeclevlsssin. - -
Ouuu.. GIP n nu g t
Y (�S'n'h ''1
TOTAL E I .._.........
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA CIhecklist THISR COM APE MIT.
OATF/9-St7goFPIDIAL a-- n....arTD/ 1 H 0 '. 8 70,8 8 s 7.0 0 n F'
•