1981, 07-13 Permit: 81A-6884 Inspection CardINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
ArrILEYA R 'Non, rGnm. E
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH BII JEFFERSON / SPOKANE, WASHINGTON 9E260 / 16001 4E63676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS to CI I Y � .1
LOT I BLOC 11 SUISDDIVIS10N
Z •
S' ADORES�O
L/$''1 /SYDY C�-�u
DDNTRHCTy
DESIOAER
ADDRWM
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL N0M6E6/6
Nortn Actual Set B..ai0o FM Il Eat Iwrst
Size of Parcel I2on. CNMlllullon
oml. I 0006anay
vacation
Sprinkle.
OTO ONO 0 Read.
Duman. Area In Sq. Ft.
ZIP
Maln Flo.r
Upper Floors
ovate Area
6.
CHANGE OF USE FROM 100
TYPE 0 NEW 0 Alt.
OF
WORK 0 OLD. ❑ PLMB.
ECH.
0 RPL
0 M.H.
0 RIVE.
0 POOL
0 OTHER
Area of Dec. I Flatbed Basement I Unfln. Basement
N0. Balm I No. Simla I No. Roomy r o. of 06.11011
CERTIFICATE I(I '
1 EXEMPTION
DESCR
a
um. Dial ILOUtIOn IAreal FEES COLLECTED
VALUATIO
9.
SOUOFCE I q4 ELECTRIC I WATER 660060
JTILITIE9 U XX
O 1691016 us coos
6111 0 vflvM. 0
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on verse side, and know the same to be true and correct. All provisions of laws and oislinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or Me
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SIGNATURE OF APPLICANT L1 �^�/
SPECIAL APPROVALS
NAME DATE
Env. Health
rennin.
m Memnon
to I es
tan
SPECIAL CONDITIONS:
SInol E
Building
Plumbing
Mach.
Ran Cheek
BEPA
Mobile Houle
anar ISpaolivl
TOTAL
01A 6014' 0
011• •1400
.1000 r1
•10008
A
•000 8
68835
07 -13 -81
5 6978 ,.
11i