1981, 05-18 Permit: 81A-4789 InspectP.
PLAN NUMBE
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 98260 / 15091466.0675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS iia 0U TO MAKI 3 rn u'll
JOS ADDRESS
LOT S BL t, I t �.....rtko.r-
2
a -"du K. �lkulc�l
A s �to6 13oN4Pnt...
CONTRACTOR
in ,oltdipc y X1'46
7-* iiaixe
A'.,ADDNW
'OESIONBR
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/5
Actual Set Basso In Feet I WI IW. NOIt 'Seism
st
Si. of Parcel Sone Glass!, ication
TVoe Const.
OcentsenCY
❑v.s CINo nee.
ValuetIon Building Area In So. Ft.
5. ADDRESS
ZIP
Main F100,
upper Floorl Guam Arm
Morello
TO
CHANO[ Of ME FROM :
1.
TYPE 'QJy.T. 0 SO'N. 0 NPL. 0 MVS.
1 WOR, 0 eta. ^ O PLMa: o M[LYI. 0 se.IC s 0 POOL
oESCRi� R
Q VALUAT O SD
9. UTILITIES
OAS 11.ACTEIC
WATER
Area of Decks
FInRnW Basement
Unfits. Be ent
0 OTHER
No. Batas
No. Stores No. Reams
No. of Dwellings
CERTIFICATE
01 EXEMPTION
seed. root 0.00.
Enuro. Dist.
SEWER
OWn.Nb10
Location IAreal
USE CODE
Public 0 Pelt/ate 0
I herebyertfy that I have read and examined this application and have d the 'n
reverseon
sire, and know the same to be true and c w
correct. All prov s on, of I. i,.. ..
type ofwork will be Cbmdied with whether specified herein nl not, The (panic, ,,�
to give authority to violate or cancel the provisions of any other state o, local Is, ,,us. ..1
:pWfCo Pane of ia.tgsction. SEFr REVERSE SIDE FOR REQUIRED INSPECTIONNS�'v-P1I '. 1
DATE OF APPLICATIOfII (� �I SIGNATURE OF APPLICANT
SPECIAL AIPItOVALS NEC D qty[: ....C...."
FEES COLLECTED
S' gle S
Eu ilding
Plumbing
Meeh.
Plan Check
SEPA
Mobile Home
Other ISpeoilyl
I„
TOTAL S
78
•590
.500
05005
u`. -15-8d
7 6479.
1
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE