1981, 04-01 Permit: 81A-2936 InspectAPPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE. WASHINGTON 00360 / 16001 466 -3616
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
J; B IASORE6RKU f6Y 7 'Fa (.4e3.40
rw/
LOT I BLOC RGI no
owNER
ADONIS!
e 9.50 0 /r3„<e.cteLkut
6rer. Ste► A... "ter .41.4.46
4• ADORW
/34010,3,_ Rue CEO.
0E4It !"oaf,
HO
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBERS
Actual Set 5 1T M w
Fe
6VOTI IMrlh 16011(h IWM
Size of Parcel LOMI CNWIIOtlon
PHONE Y 3ggs
ES
OEMONER
i$
PHONE
Type Coast I Occup4ectr
Valuation
Sofinmoree
Oyes Ono 0 RAFE.
Building Area In Se. Ft.
ANANIAS
Main Floor 1 UPPw Floors Garage Are* I Storage
CHANGE OF USE FRO
Q
In. Basement
7. OF
✓d.tlRN 0 ALT. 0 AWN. 0 RPL. ❑ MVE. 0 OTHER
wORE 0 ELD. p.FLMB. 0 MttN. 0 M.H. 0 POOL
DESCRIES WORE
VALUAS'ION sows. /� ��� T%
B. I s.1.. EA/ I ELECTRIC I WATER
No. CERTIFICATE TE Stories I es., I 0.10. P.ot 00,9 Oaths
of EXEMPTION I(1
SEWER
ORnorthls
Public DIANN* LI
U S l COOS
1 hereby certify that I twee read and aoemined Mbepplcation and have read the ' N/ITICF" provisions included
on reverse side, and know the eeme t0 be true and correct. All provls1ens of laws anti ordinance. governing this
type of work will be complied with whether 'pacified herein or not. The granting of 11 paint does not diatoms
to give authority to violate or 0.00e1 the provisions of any other stet) or local law repo al c structlon or the
perfcEIGE lCe of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
CATE OF APPLICATION *P // Tr SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NANA DATE
ns E.•mIn.r
De•
FEES COLLECTED
01 e1 E
&fisting
57
Plumbing 4157"..
Met
Plan Check
&EPA
Mobile Home
Othiu ISpeci101
TOTAL S
RMIT NUMBER
82.1 -29,3G
03• •4500
.4500 ,,4
.45008
A 4000 8
2935,
04 -01 -81
s 6479.'
WHEN MACHINE VALIOATECI IN THIS SPAC
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
c
REMARKS: