1981, 05-13 Permit: 81A-4644 InspectINSPECTION RECORD
ADDi3ESS
DATE REMARKS D /
dee Le. -t'..,7
I° A E�O 57/z/W
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH all JEFFERSON / SPOKANE, WASH ONIEEEO '/ 16091 *50.3616
APPLICANT: COMPLETE NUMBERED SPACES — PRESS I 'ARP TO MAKE 3 COPIES
JoBA �% Pil.Yallt.�'li` "1/15P,
to - :: 'h,
z. 2 I �I�p�� <at�. (v 61K
• G'li Q9+7 i p50P�V1a -1 1 ,I3.�6 __„„31-
377-0
CONTRACTOR PHONE
LEGAL DESCRIPTION — SEE ATTACHED
ARCEL NUMBERS X*a IUr.) I
m. r54 -&v. ad 1, J_
Astual 12- ta
North .7 ISoutdV (East Le
ADDRESS ZIP
DESIGNER
5' ADDRESS
PHON
? Zone CHMltintlo�
1,vrX 147 5. U
Trw Conn. ] 05Grwndr
JrLICTOe'O
❑ves ❑NO F10 R .
Sanding Area In Sp, Rep,.
EIP
Main Floor I UPPer Flaw.
CHANGE OP USE FRO
5.
Garage AN.
Mortice
Area of Decks I Flnl.h.d Basement 1 Untln. easement
TYPE 0 NEW ❑ ALT, ❑ AWN. ❑ NPI._ ❑ M ��
W0p PICO. ❑ Pl ne. ❑ MECH. M.N. ❑ POOL BT OTHER
DPipots ORE
//L1UAOTION SOURCE AS dE RIC WATER SEWER
V
No UTILITIES
OE
o. Baths
O. Mori. I .o. Room.
JL e.
CERTIFICATE
of EOOEMPTIO
Enam. bl. Loratlon IAle.l
O 0111.
R.dd, r.1 Rep'd.
Pubis, Private ❑ USE CODE
I hereby certify that I have read and examined this application and have read the "le •�..,,,n ,nlr•i
amt
on reverse side, and know the same to be true and correct. All provisions of laws :,, �•� g, n,r.,,,,np ,I,
type of work will be complied with whether specified herein or not. The granting ••1 ..• •..••• • „n o. r; s, -,,
to give authority to violate or cancel the provisions of any other state or local law 101 I.,. • a,,rr i,•ii "•
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION i'/ SIGNATURE OF APPLIC9vtZ
SPECIAL APPROVALS OATS
ali n ng
SPECIAL CONDITION{: I
Oo �,I CTvHC� 1 <:Tr dT.f
rI-r 7.40
FEES COLLECTED
Building
Plumbing
Mesh.
Pie Ch k
SEPA
Mobile Home
Other ISoecily)
rtl
TOTAL S •
PERMIT uhiaEe gtiti
•5000
• T C,(1
• noOil
-81
tt 6/179
i