1980, 09-15 Permit 80-9779 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE
/D _ / t. -8)
/-do-r1
•
REMARKS:
(9-/2- a
c
2
"UM ER p APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH all JEFFERSON / SPOKANE. WASHINGTON 99960 / (609) a06-Seas
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE :t COPIES
JOB POORE55,_L/
N USANCEe' 44NC
Lot eLDLV imIIJIUAIUn
OWNER
84RRV 7. PUG,,,
ADDRESS
' Po. .Bar //737
CONTRACTOR.
n .59mE
ROOMS:
Aji S.9me
DESIGNER
ADDRESS
CHANGE OF USE FROM
PHONE
535- 9874
ZIP
ON
ZIP
y/
TVPE LY NEW ❑ ALT. B ti. . I RPL 0 MVE.
]. OF
WORN � BLO. ❑ PLMa. ❑ H. 0 N.H. ❑ POOL ❑OTHER
DESCRIBE WORK
aS/NQf6 'FAM/ V' !P65/ea,` 0 iWA0L �7r4C.,/ Q
{(p.TALUAr ON sou645 OAS ETA TRIC III WATER SEWER
•B." / 3000 UTILIT0E PTrC
REGAL DESCRIPTION -SEE ATTACHED
01 uMBER/S (OT 0 00 5p -79_/y4
0E445/z- 9,2'6
Actual sot Backs M Past
North ParcelIsomn2/ fList257O I t
. SS"
SI. of Classification
APReo . /. z AceF5 AG. 5r.2oAPOM/
=N` /sty
va�17Z, So e
PrinkLNG
❑om Ono ❑ Req..
Building Area In Sq, Ft.
2558
In Floor Upper FbgN r Gump/Area
/6.3Z [ 72G
Area 1 Decks Flnisi N Basement
379 /2G7
No, Baths I No. Mori.
Wage
3/7Inn, Basement
No. Room INo. of Dwelling.
CERTIFICATE
of EXEMPTION
Enum, Out,
Loudon (AM)
Ownarsnlp
Puellt 0 PrIl3H Er
I hereby certify that I have rood and gemmed this applicullun end h.rv,• ,„Id the "NO't1Cl." Inuvlsions included
Oil reverse side, end know the same to be true end correct, All Conosc le. n1 lows canyI u?Jnencos governing this
type of work will be complied with whether specified herein nr Col I Inn raR� n9 of{I pull) I of presume
ID glue authority to violate or cancel the provisions of any faller Atilt I IncpY law leyuloiIli0 on or,fie
performance of construction. SEE REVERSE SIDE FOR REQUIRED I PE NS
DATE OP APPLICATION / �r7O SIGNATURE r.1 Arc I. IC
SPECIAL APpROVALS
NAME DATE
SPECIAL CONDITIONS:
USE CODE
et e, IHyt RON.
EES COLLECTED
S'els S
Building **W.
Plumbing
Mech.
Plan Cheek
SEPA
Mobile Ham
Other ISpadRA
TOTAL S�Q•�
(,2• .35200,'
*352.0-0` n
*352❑06
R *Q00 8
977.88
09=08'-80"'
f 6479,
WHEN MACHINE VALID/ITFO IN THIS SPACE.
THIS BECOMES A PEIIMI 1
D