1980, 05-07 Permit 80-4195 InspectOWNER
INSPECTION RECORD
CONTRACTOR
N S E W
LOCATION
SET BACKS
DATE
TYPE OF WORK
FINAL INSPECTION: %``t
REMARKS:
�2
IPLAN'UMIER -----
II
JOB.ADORESS
NER
Ess
APPLICATION/PERMIT IL /
O,SPOKANE COUNTY — CODES DEPARTMENT
/ 15W1<663676
NORTH 611 JEF FER60N I SPOKANE, wASHINCTON
APPLICANT: COMPLETE NUMBERED SPACES I' f '?U TO MAKE 3 COPILG
LEGAL DESCRIPTION — SEE ATTACHED
NOE OF USE FROM
TYPE 0 NEW 0 ALT. ❑ AO'N. ❑ RPI. 0 NYE. OTHER
J. OF ❑ OLD NA.. P. 0 MECH. ❑ M.H. ❑ PO
rtlaAyl�ll
B. VA. ---AT
SOURCE1
'� LOIT ES
I hereby certify tthat I Karr a nd e
reverse
on
side, end know tht... o h`
type ofwork will be complied rd M1 iii•F,,
iii give authority to violate Dr canoe, ilio "
net lib lnance of Ernstucton. SEE REVERSE: SIDE FOP HEM"� 1.II iNSPFC
DA I Or APPTitIN 4�k-.PO
SPECIAL APPROVALI
NAME DATE
Fur n.altl,
H
ELECTRIC
SPECIAL CONDITION.:
MBER/5avOTT44 ,/
W/77. &L 'EXC. 5. i9D s�6/Io/, 8C
eEC Nwyroviry
al Sol Becks in rout
ortosown
Size of Parcel
sin low,
g9efoi Docks
Ooo°oa«
one cis keno
ONOyes
Building ANN y.
sh meld U^nn. BR_.^t
ReoTod.Tod.Roomsof °Welling.
No. BET NO'/o N d. got
eEW
CERTIFICATE
EXEMPTION
R.cd. Rc°
al
um. Obt. ° tI°^ gPrxt FEES COLLECTED
ATER SEWER Ownership
cO Private 7p
USE CODE
Single S
Building _34-L-0—
Plumbing
Mech.
Plan Cheek
SEPA
Mobile Home
Other ISpecifyl
TOTAL f .rj
p-�--
E�.}R}MIT NUMBER
02. .3Q00
.3000 0^
IJ19 0J?
05-01-80
6479