HomeMy WebLinkAbout1981, 02-10 Permit: 81A-1351 Inspection CardINSPECTION RECORD
1
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: 7,26 4"1 /2
DATE
5f
REMARKS:
rN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, wASHINOTON 00360 / 16001 4613616
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
ABA
`4a
�dBD,y161� �-
LEGAL DESCRIPTION - SEE ATTACHED
on
CONTRACTOR
OA
DESIGNER
PHONE
glzzo7s3
ZIP
9�2�G
PNONE
IP
PARCEL NUMBER
Actual Sot Back. In Feet II
North South IEUt IWast
Slag et Percal Zeno Classification
ee
Sglnkl0
0v 0Ne ❑ Rp'e.
PHONE
1 IMO On
B 0d ng Area In
ZIP
age
CHANGE OF USE FRO
4
. Basement
TYPE 0 NEW 0 ALT. 0 Ao'N. 0 RPL, 0 NYE.
WORK OSLO, 0 PLR.. a(aeem. 0 M.N. 0 Pool 0 OTHER
No. B.th. e. Steele. No. Rooms o. of OwHlln,t
CERTIFICATE
of EXEMPTION
SCR
OR
[num. out Location (Xt.)� FEES COLLECTED
61 01
• ELECTRIC WATER SEWER
Own•Nnie USE CODE
Poellc O Private 0
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the sate 30 be true and correct All provisions 01 laws and ordinances governing this
type of work will be complied with whether specified herein or not, The granting of a permit dots not prawme
to glue authority to violet. or cancel the provisions of any other state or 10041 law reg,dalmg construction or Ma
Performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS L�
•
DATE OF APPLICATION 2. to - 4 / SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONEI
NAME DATE
,w' -nn-i1 - --
'Utimin
Ps E.amin..
7S ., /
f6, 0-eo 87-U-
$
Building
Plumelny
Mach.
Plan Check
BEPA
Mobile Home
Omer (Spec fy)
TOTAL (ad-o
NUMBER
g, :4 ..
PERMIT
/
04•
13502
02 -10 -81
2 6479.
•180
•1800
• 1800.
•000
WHEN MACHINE VALIDATED IN THIS SPACE,