1980, 09-24 Permit P80B-797 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E.
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS:
1v '1`LAN NUMBER
•2
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE, WASHINGTON 00200 / 16001 456.0676
Azg„t4 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
• RESS
bUBDIVI>IOV lf%/!/s �J� r/�e✓ e
a -'1°// At,.,/dale S
f5
SIG 72 PZ
DESIGNER
5' ADDRESS
PHONE
LIP
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER'S
Required Sol Bar In Feat
North (South (East
(West
Sla. of Parcel 1 zona Clanmr.Uon
sprmklored
Dv.. Ono 0 Regis,.
Valuation IOuINIng Af•e In Sq. Ft.
CIP
OWL Area
Bea.m.nt Area 1 Garen Area
Steno.
CHANGE OF USE FROM
TO
Split Entry
Spill Level
Rancher
TYPE Q.NEYI ❑ ALT. 0 AO'N. 0 RM. 0 MVE.
i. OF
0Rm 0 BLO.' '0 PLMs. ❑MECH: -❑ M.H. ❑POOL
E WORK
g. DFscRle /� ./7�X LL e:S
VALUATION
Ulllltlas
OAS
0 OTHER
ELECTRIC
No. Balsa
No. Flodr6
No. Roams
Roc. Room
WATER
CERTIFICATE
of EXEMPTION
SEWER
1 hereby certify that l.have read and examinedthis appiicalton and have rued the "NOTICE" provisions included
on reverse side, and know the same to be true and correcL All provisions of laws and ordinances goveming this
typo of work will be complied with whether specified herein or not. The yr..tt' ny of a permit does not presume
to plug oulhority'to violate of -cancel the -provisions ofanyother stateorOng construction orlhe
performance of construction.
DATE 9 Z`Z J SIGNATU.IfY(,�i�S}�Z�G fiGrrift
VSCIAL APPROVALS - -
DEPT. REO'D. REC'D.
Env. Health
Ranning
• Manhdl
Enelnear I,
Vt
BPSCIAL CONOITIONer
I..,I O.
FEES COLLECTED
Single 5
Building
Plumbing
SRfY "Mech.
Plan Cheek
SEPA
Mobil H m
Other ISpeeNYl
TOTAL
DATE
03 •35.50
•3530
•355.08
A •400 8
78.82
09-24-80
6479,