1981, 06-04 Permit: 81A-5439 Inspection�YLAN N UM6Ek
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTN 811 JEFFERSON / SPOKANE, WASHINGTON 91.288 / (6091•66-3876
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.. roF rRjor, A�KI /c,
UT RI- lUtlU1V1l1gqN
; I I G°FS61N °I 6g46, H
:m -Sto
OWw!
3 I�1 C. 17
ADI 619Io5 ,A14,41
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBERS 17 55 3 - 0707
wr , pLCr+<I -rNf. rtN. J1c.
.w40N1- N. o[ 4 Aiw.
CONTRACTOR
4.
DO ,171 S witserr
DESIGNER
S' ADDRESS
8,911
PHONE
ZIP
CHANGE OF USE FROM TO
6.
F1'TYPE J1EW -„ O ALT. AU'N, 0 RPL- 0 MVE. 7. w1. RN fJBLD.
0 ELMe. 0 MECH. 0 M.H. 0 POOL
DESCRIBE WORK
9•.
VALUATION �JotaCE9 I OAS I [CTRIC I WATER
0 OTHER
North 'Sough Set Bac. in Met 1E.,1
Sue of ear.
is
Iw.„ +9
Zs, ClassIllmtlon
XR3�
IC swmkierw
n �{3cy oY., oNR ❑ R.R•d.
Valuet .7�
op l Upper
Area oil Decks I FlnIMepBasement I Unlln. Basement
-- I O. Stories I No. Room.
J rpm.
SE ER
No. Baths
CERTIFICATE
of EXEMPTION
Ennm. Dist. ILOMRon (Arm)
pozz 1p USE CODE
m ❑mwt.
I hereby certify that I have read and examined thls application and have read the "NOTICE" provisions Included
on reverse side, end know the same to be true and correct. All provisions of laws and r,lrlinanres 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 regnlatillq construction or the
perform.. of construMlorr EE REVERSE SIDE FOR REQUIRED INSPECTIONS /l
DATE OF APPLICATIO / /SIGNATURE OF APP ANT �/
SPECIAL APPROVALS
NAME DATE
n.t_ICFIO .
tf Iglea 1.5
E AMP,
n,3 Coln j,.
FI.
FEES COLLECTED
s'EI
Bulidl0, 7T
Plumbing
Mech.
Plan Chock
()EPA
Morale H m.
Other (Specify)_
TOTAL $
UMBER
'FL' E.1A -154-91
02. .7400 �1
.7400
.74008
2 •000 8
',4Sh?
06 -03 -81
s 6479
•
INSPECTION RECORD
ADDRESS
DATE _ REMARKS
•''.9/<%/iC-Lc.. //A, 5"
tITIE YPW
s �=4 14,A4dee. Gr/r /�r�/2 ffah 4 //is
z‘P ra /re, / fit ii ri1 h��i� ''
r 4 //e¢. -.! /1- 4
leil■ ire //f i\ S