1980, 04-22 Permit: 80A-9981 Inspect •
INSPECTION RECORD •
OWNER
LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
io 31‘42:14.,16 <
I
IP
•PLAN NUMBER APPLICATION/PERMIT ---
• -�1 SPOKANE COUNTY—BUILDING CODES DEPARTMENT _ • C{a
NORTH oil JEFFERSON/SPOKANE,WASHINGTON 50250/Is001 asS.ZSTS DATE e
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES
1 JOB ADo 04* *7.00
t REs b�dLm. LEGAL DESCRIPTION—SEE ATTACHED -.*7.00 R •
LOT BLO 5 1 U PARCEL NUMBER/5 *7.00IS
OW nFR //'';;��/� n PHONE E *000
3. Drt.o4A—, l"1(.0..t hroZ, 99802
ADDRESS TOR A �` PHONE SNorth IM or paZIP Required SCDet Backs In ISoutnxl EZom CReelllu Ilonat O O9 ..O I.
t'-'36 VY- 1e 1.D°OJLMAI) 4 l-549(n 2 6879 I1II
4' ADOREsP� ZIP Type conal. Oast:NAG, Sprinklerea
• 4-r1*.a az,a9 Rgap1 oyes ON, ❑Ras,.
DESIGNER I PHONE Valuation BulMlno Area In So.Ft.
6' ADDRESS ZIP DWL Area Basement Arm Garage Area Storage r-
T
CHANGE OF VSE FROM L D'no VE. TX[R no.Ptlalnl Entry no.Floors Spilt Level Rancher
Room I Reac.hRoom a
B. TVP. O NEw .0❑A ❑n ❑n Om ,o JI (
7 sonic-0 m.o. -0 PLMe. ❑MECH: ❑M.H. ❑POOL CERTIFICATE ' Ree'e. I sflec'Cp IVO,Rx'C. .__.
of EXEMPTION I`
I •
9. D[sc Rle[wonn LC T 4� Ia ///���(((��//���tin,* FESS COLLECTED f.
VALUATION' .caro I OAS U ELEC IC I WATER 6twER �,
O. 4. willllm I ---
Single $ I
I hereby certify M
reverse at I have read end examined this application end have read the"NOTICE"provisions Included an -
side,and know the same to be Due and correct.All provisions of laws and ordinances governing this Building
typeofwill be complied with whether specified herein or not.The granting of a permit does not presume
to give authority to violate or cD
ancel the provisions of any other state orlocal law regulating construction or the Plumbine .—.-,:.---;,•,r ,
pefforrn rax t constea sion. .. +iJ I '
J
DATE SIGNATURE Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS: - -
DEPT RED'D. RECO. ` _ _ Plan Check _-_
Enr.Hxlta _O\.rviA n -n R. (1 .ti f9\a•
;, SEPA
Renner. c...acrik._SK • _.
,I FRP N10511511 ((��[��AJ���J ` __ Ir -
CO.Engine*,
.000..0..Engine*, `Cy.�(L-A-�2_ Other(Sp«OYI
-
.,:b WGA �s�e�+TY� •
i
uuulin a TOTAL $, . I, - 4
Zam cixrann WHEN MACHINE VALIDATED ,,
N NIS
_..- __. 1.._..
- TH'$8T'COMAI'f 11M 11
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