1981, 12-29 Permit: 81A-7024 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
PERMIT NUMBER
SM -70)4-
06•
•16006
01600 G
016009
•000 0
7023t
07 -15 -81
6679...:.,9
IAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Ott JEFF EPSON / SPOKANE. WASHINGTON 99230 / 1509/ 456 -3615
APPLICANT: COMPLETE NUMBERED SPACES – PRESS HARD TO MAKE 3 COPIES
TYPE
JOB ADDRESS
• re7 97x9
LOT I BLOCK ISUBDIVISIO
2.
3. OWNER
fi/ /fter �eiC
ADORESs
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
ZIP
PARCEL NUM0ER/S
Actual Sat Backs M FM.
North (South East ivmst
a. CONTRACTOR e.L
ar
ADOPE
/7z1y /rte.
DESIGNER
S' ADDRESS
CHANGE OF USE FROM
a •
un. Tge.
3�rlo �
51.• of Parcel I ions DIawBT.DOn
nP
99zo/
Tyaconst I oa0an.r
Sprinkler.
Oves ❑NO 0 Rep'..
PHONE
Valuapon 1BU90In. Area In So. Ft.
ZIP
Main Floor
uepO Floors Garage Aran
ITO
Dow 0 ALA. IC AD'N. 0 RPL. 0 MVE.
woos D OLD. 0 PLMB. . MECN. 0 M.N. 0 POOL
DESCRIBE WORN
a —C.ss >f //l
VALUATION
0 OTHER
Area of Dacia 1 Flnlas. Basement I Untln. Baam•nt
No. Bathe I o. Stories No. No. Rooms IN*. of Dwetane
CERTIFICATE Rm.. I Rm.. rot Rq'a.
of EXEMPTION
e.
.1
SOURCE ✓ OAS I ELECTRIC
UTILITIES
ATER
SEWER
Ownership
Public 0PrNate 0
USE CODE
I hereby certify that I have read and examined this application and I. 110 lad the 111)i It,i nluvlswns included
oo side, and know the same to be true and correct. All provision, ul lawn and li es governing this
type of work will be complied with whether specltieds herein o t. the III ling of n n' -nnrl lrloes not presume
of give authority to violate or cel the provisions of any other state or local law regular 'n construction or the
performance of construction. SEEE� REVERSE SIDE FOR REQUIRED INSPECTIONS /
I1ArE OF APPLICATION.. �L( = —cr/ .__ __. SIoNA TUNE Ur al r r it niv l A N / //
.c4 ? "
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
FEES COLLECTED
Sing) {
Bunning
Plumbing
Mach. 14.0Ci
Plan Clunk
SEPA
Mobile Horn
Other (Specify/
TOTAL S
WHEN MACHINE VALIDATED IN THIS SPACE,