1981, 06-25 Permit: P81A-5515 Inspection(PLAN NUMBER
L`
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON / SPOKANE. WASHINGTON 40260 / IMOE) 4063•70
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Z
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
—W. 0 SOAK
ADyLE36 191.01 %k'Tf
CONTR T 6
4., ADO( - ..
Me
ZIP
ARCEL NUMBER/S
PHONE
Actual Set Back. In POM
ISauth R IW«1
SI or Parcel Zone CMWIN4t1on
21P
DESIGNEE
6. ADDRESS
PHONE
TyW Cenri. OauPency Sprinklar. W
❑V•a ❑rue C3 R
Valuation Bu1101. Area In Sa. Ft. .o
CHANGE OF USE FROM
Q
31P
1-
TYPE 2 qLW ❑JMALT. ❑ AD'N. ❑ RPL ❑ PAVE
I A .
7. OP ❑ 0t.0. U PLe. ❑ MECH. ❑ M.H. ❑ POOL
WO
8. F6 R1 - 05
4-1 rix - ftJK l")
VAL.ATION SOURCE I OAF ELECTRIC WATER I 4[W[R U88 *001
9. UTIMIES Pualle ❑PAVED ❑
❑ OTHER
Main Floor I UFp« Moon Garage Area I ,Mama
Am of Dodo I Finish. easement I Dann. Easement
No. Satns Ne. Star1« No. Room. �NO. of DR•Illne.
CERTIFICATE pp'd. 1 R•c tl. NotRw'tl.
of EXEMPTION
Snum. Girt. I L0a11on NNW
I hereby0terti)y that I have read and examined this application and have lead the "NOTICE' provisions Included
on reverse olds, and know the same to be true and correct. All provisions of laws and ollllnmlces governing this
type of work will be complied with whether specified herein or nut. The granting of a pmnlmt does not presume
to give authority to violate or cancel the provisions of any other slate or local law :egulalllnl construction or the
performance of conathlotion. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS (I
OATE OF APPLICATION SIGNATURE OF APPLICANT_ O) #J3 `—
SPECIAL APPROVAL, SPECIAL CONDITIONS:
NAME...yJylE'Tai
Mv. moms
19gnal
• M•rMa
nt «
E.•ml
FEES COLLECTED
SI al E
Building
Q/ Q
Plumbing
Mach.
Plan Cheek
,EPA
Mobile HORN
Other (Specify)
TOTAL $
PERMIT NUMBER
eLA– qt5
03. .9.00
.9.00 R
*9.008
A •0008
551.44
06 -04 -89
s 6479.,- ,.;.,,.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:/ i /
Z"X? 57;i/ .-..:141.4 / -74.r Ps- SAP X/1, t �0, y�- 71 4