1980, 05-22 P-80-4892 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSEW
SET BACKS
TYPE OF WORD_,•
FINAL INSPECTION:
DATE
REMARKS: �+
IPWN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH all JEFFERSON / sPOILNNE, WASHINGTON PPgMO / (800106E3676
PE 7r Nig!R�y c
JOB ACaRESS
1. E. 106oa \64(.[CV WFW
LOT BLOCK at/ODIUM!
APPLJCANT: COMPLETE NUMBERED SPACES — PRE HARD TO MANE 3 COPIES
2
3
4.
6.
6.
7.
0.
a
OWNER
- AUL `�pV LS
ADDRESS
E . 0609 VaL/ EM WILN
CONTRACTOR
Soa vasF.
ADDRESS
Sgvn6
DESIGNER
NONE
gz4-Oss4
21P
g9z,o C.
PHONE
ZIP
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUM6ER/S
AM. Sot Bmin In Foot
Nortn ISOuth
size or Parcel I Zona Cla W rlullen
Type Conn.
Omupancy
❑ no 0v.e Oo R.R•e.
Valuation I60lIOMP Area In Sq. FI.
POORER,
CHAMOIS OF USE FROM
TYPE 0 NEW
OP
WORM 13 6U'
DESCRIBE WORN
VALUATION bounce I GA,
UTILITIES
FffrPLME. 0 MECH.
ZIP
TO
❑ ALT. 0 AWN. 0 RPL 0 MVE. ❑ OTHER
0 POOL
0 M.N.
ELECTRIC
WATER
,EWER
Ownwship
Main Floor I Upper Ploon Guam Arm I Simms
Aro. 01 Crodu Plnlana0 Basement Unrin. Be:m:nl
No. Bann
CERTIFICATE
of EXEMPTION
!Mum. DM. !Local on (Aral
VeE CODE
Puellc OPrivol. D
NO. SIOrlee I NO. Reornt lra. el ...linosaimed.IlPRIM. r., Ran,.
-1hereby civilly IhaL I have read and crammed this application and have lead the "NOTICE" provisions included
on reverse side, end know the same to be true and I an All prov dm ons of laws and ordancea governing this
type of work will be complied with whether speed, ereln or not. The granting of a emit does not presume
to give authority to violate or cancel the provisions • • , I'v other state or local law 1 tiny construction or the
performance of construction. SEE REVERSE SIDE FCII •'FOUIRED INSPECTION
S /, G �J t, SIGNATURE OF APPLICANT OATS OF APPLICATION I C
11ICIAL APPROVALS
NAME °ATE
Mannino
Fire Marshall
Co. Enpinael
SPECIAL CONDITIONS:
�dAAs 261 Vs. WA -TER -Pivc
To C�A•a7.AG leg h c,D 31•A
PEESCOLLECTEO
81n01 i
Building
Plumbing {•50
Mesh.
Plan Check
,EPA
Mobile Home
Other !Specify)
TOTAL S -COS
03. •550
*550 Gt'I
.5506
E •000 8f
U8V.14
05-161410'
64..7,e1M I