1981, 11-24 Permit: 81B-1511 Inspection CardINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK �^/
N S E W FINAL INSPECTION: � -�� /�«
SET BACKS
DATE REMARKS:
1 `21 -S1 a SZ ''11( y>p,r Wen 01 �s 7A, i
1sE�✓(J ti oy�y,:r e
�i2,t e S G 1 L4�� /.DiSfi _
NU ER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON / HOBAN. WASHINGTON .360 / 16091 99.3676
APPLICANT. COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS c
a
11.11.Acti
4' ADM
ytk"" tp�
LEGAL DESCRIPTION — SEE ATTACHED
AR CELN•RaSER/SOm rFunrFy P7 Of 13 111
�N6If wy W. 196.6't&lle AL 135/
in-1,447 /1343— .2242 -'3
g9a0(P oft6r9.tB.i,agth'"
PHONE 54a or Parcel I3am Claulllcetion
IWen
V. tend.
01
ESIGNER
ON
aluatlan
90 final
Oyes Owe 0 0 Rot,.
.1191. Area In 50. Ft.
ADDRESS
Uogar Floors 1 Goo. Area
Storage
E OF USE FRO
CEQDEw 0 ALT. 0 wow. 0 RPL. 0 MVE.
7' won 0 •LD. 0 PLMO. GISMO-, 0 M.H. 0 POOL ❑ 00080
DISC POE w - 0X
Area or Deck. I Pinlmea easement I Untin. Basement
Na. awns No. Stwles I No. Rooms Id's
Rain. et Rag
R
CERTIFICATE
of EXEMPTION
loom. OHN. Location 1Area■
Owner.. MB 0001
Puelle O'TIMMM 0
I hereby certify ma I have lead and examined this appl,.1lw, and have read the "NOTICE" provisions included
on reverse side, and know the same to be II and co, lerl All provolone of laws and ordinances governing thrs
type of work will be r:nnlplied with whether Ispeclfied herein or not. The granting of a permit does not presume
• authority to violate or cancel the provision of any other state or local law regulating construction or the
nca of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICA r
MINA/ AIFEOVA
NAME DATE
SIG I UHI In APPL
SPECIAL CONDITIONS:
FM( COLLIC7E0
Singl S
Building
Plumbing
Mach. 17
Plan Check
IEPA
Mablle Marna
Other lSpecifyl
TOTAL 11 2
0d• '•1"0.'0
• 17,00,:::
r;:
�91i ». ',
15104
11 -05