1981, 11-16 Permit: M81A-8349 InspectionPLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTHet1 JEFFERSON / SPOKANE, WASHINGTON 00200 / 1081.663675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB woDR �Z� rA�(y(�L� A
LEGAL DESCRIPTION - SEE ATTACHED
co, I OEO r>.rJBDIVIS101T —~C
2
PARCELNUMBE0/S
a 6OWNER
aa.n- 51r 61A1GL
47NU -mod
ORC<c
E • eS S .6 "UV- tAG•Tter
LIP
CaCkT.CL'
Actual set gams In Feet
(Smut East [nest
CONTRACTOR
..ROAls
PHONE
P
Size or Par. CNNltlallon
4. EBB
PlN6
ZIP
T
Type Cana. I O«eana SwInlO ed
Dyer 000 ❑ hoe,
DESIGNER
S'
PHONE
Valuation 010I0 Ara In Sa. Ft.
ADDREaS
ZIP
Ma Floor UPPer Floors •raee Aree SInNa
CHANGE OF USE FROM ITO
Q
Ara of Deeks I in ea Basement on n. seament
TYPE l] N!W ❑ALT. ❑ON. 0 01— ❑ MVE. D OTHER
71 D SLo. ❑ LMS. M i .ECH. ❑ PAM. ❑ Pool
No. Baths I No. Slores
I No. Roam. No, of 00111!.
CERTIFICATE Ra'6. I Ree0. r,,,, Ra0'B.
of EXEMPTION I
DESCRIBE WORK
8. pw1 N(,G 0C.. b
Loom. D'". I e Ilon fwral
FEES COLLECTED
NNN I�����ryyy///
9. VA ' TILITIES� AS RIC 1 WATER I !MIR
s
Imbue ..0 Private Dl NE CODE
Ethel $
I hereby certify that I hove read and examined this application and have read the
On reverse ride, and know the same to be hull and CoraCt. All provisions of laws
type of work will be complied with whether specified herein or not.The granting
10 give authority to violate or cancel the provisions of any other state or local law
performance of constru BEE REVERSE SIDE FOR REQUIRED INSPECT NS
"NOT I.1" iti °visiolts noluded
and of do h r vce
is governing this
Building
of a 101101 Joe, 001 01001100
:ea:rig:'ltl ∎.nnlruclnni of the
Plumbing
/cttiiop�n.
•
�L
OATS OF APPLICATIONS +t etI Al SIGNATURE OF APPLICAITy'[Y''6'( Mach. Kl�
�
SPECIAL APPROVAL$
NAME DATE
SPECIAL CONDITIONS:
.
Plan Cheek
Ene. 110111.
$EPA
Planning
Mobile Horn
re Marshall
o. Eosin,
Other (Specify)
lee
TOTAL S 17.Cte
Moons .
04• •17.00
•17.00 5
017.008.
A •000 8
834.Az
08 -20 -81
t 6479.1, AM'*"
INSPECTION RECORD
OWNER LOCATION
4
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK _.
FINAL INSPECTION: 1116 --S( ,1T /
DATE REMARKS: