1981, 02-11 Permit: 81A-1275 InspectAPPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH S11 JEFFERSON / SPOKANE, WASHINGTON 09260 / 160914669616
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
i J'OS�/aADDDRR+ESS �,([� t ((�f(�
1
LEGAL DESCRIPTION - SEE ATTACHED
L8T I HLOL(15000£ YOA� •
I
PARCEL NUMBERS
2:R �[/ p
41.1 e Jtyv.A)Lb -Ad y..
a C
oHoNE
i *7- 757,'
ADORESP
/j
i i[ 1da..oq oei/ '4P�°i'*L
ZIP
g9,vr
Actual Set Backs In FM
Ngrth ISouth I .at IW.rt
N T R
/Az.Li} ' L
9,2,6,-.2,2.9L1
Size of Parcel
Zone CMNlflulion
4. de Ss
lie 2 RJd.� JfitL2 oM .9
o'Eb
Type CODS. I OeNwna
S rnkeraa
.q
Dew Oro 0 Reg .
D NER It
Valuation
Building Area In Sq. Ft.
6' ADDRESS
ZIP
Main Floe, I Upper Floors 0 srag Orea I Stooge
& CNANOE OF i� I OM Iro 1 !
AtA
Arm of Decks I F1111000.11 Easement I Unrin. Bswmenl
❑ NEW ❑ALT. fa ❑r AWN. ❑ RPL ❑ SAVE.
' woers 0 OLD. 0 eLMS. rg Mao,, 0 M.H. 0 POOL OTHER
No. Baths I No, Stories o. Room INS. of Dwellings
sRe
CERTIFICATE Raq'u. I a. lot 0 'a.
of EXEMPTION
DESCRIBE WORK
e0 'IODRTU)
a (� �I �TW
6num. Oust. 'Location (Area)
FEES COLLECTED
Singl E
Y
aOUR•C OAS [L[CTRIC A 6R /
B. UTIL TI[f
alW[R
Public 1p Us[ CODE
Public 0PrIVaN ❑ I
I hereby certify that I have reed and examined this implication and have reed the "NOTICE" provisions Included
on reverse side, and know the some to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or nut. The granting of a Tel does not presume
to give authority to violate or cancel the provisions of any other state or I cal law regal� e {'{v15 q construction or the
INSP IONS
E91NirN
Plumbing
performance of construction. SEE REVERSE SIDE FOR REQUIRED
—� —rl �
mech. /X D
DATE OF APPLICATION .
SPECIAL APPROVALS
NAME „J„WT[
*An, waahh
SIGNATURE OF APPLICAN Jam—
EIECIAL CONDITIONS:
Pte Ch k
SEPA
(/ Mobile Homo
1 re Marto.
Oth.r ISpeoifyl
o. engineer
'‚vol.,
TOTAL B
l
PERMIT NUMBER
/A- /275—
04•
A
127,44
02-09-81
: 6479.
of 801
}1800'.5
•18008
0000 E
.p
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: 7 -26--
DATE
REMARKS:
L 69 e_ ) fJ 7 /0-14
(Le.5
n T 7e