1981, 01-15 Permit: 81A-0402 InspectPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99180 / 1609) .113616
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Joe ADOREss �6
wT S
OLOgt15iGedlvnlO
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER'S
L
OWNER
PHONE
a ADDRESS
IP
Aai Sol Mat In Feet
North !South tt
Vint
�C/am,'
1,1,V�
PHONE
4-66,- 35143,
of Parcel
CRNIliatlon
EPrinkNrM
g.�1q111
AMsNL-
QVyIL/
TYPCons
I OxuWncY
❑VN ❑Na ❑Rsoe.
Arita In Sp. Ft.
OEaIONER
14/•F
Valuation
Bulleme
More.
6' ADDRESS
ZIP
Main Floor
I WPM Floors Owe. Aree I
, e......w e.mment I Unfln. a.smMnt
9.
CHANGE OP IME lr10
TO
TVR a NEW 0 ALT. 0 AO". 0 RPL 0 MVC 0 OT
7. CNORN 0 BLD.B. 0 MECH. 0 M.M. 0 POOL
No. ENO. No. MOM. I Na Rooms re. o1 Owahines
• CERTIFICATE I/I Reg a.
of EXEMPTION
p/BCRIEI WORK n v. . . nh-,... , lnum. DAL I Leatbn (Ar.)
• VALUATIONI SOURCE I Wa I ELECTRI,CGIII WATER
Q/ I SEWER Ownership Loa CODE
UTILITIES Public 0PrIv.1. OI
9.hereby certify that 1 hive read end examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and of dnlancas governing this
type of work will be complied with whether specified herein or not. The granting of a pe,nit does not presume
to 800 authority to violate or cancel the provisions of any other state or local law regulating construction or the
perfcemafu of commotion. SEE REVERSE SIDE FOR REQUIRED INSPE
ONS
�/3—,-i -�,«
DATE OF APPLICATION SIGNATURE OF APPLIC
SPECIAL APPROVALS
NAME ' GATE
E nv. 1/1111 • ^+PPeFIMn�"
F *Mart a
t . EMlneer
IPECIAL CONDITION$:
1 vo
I tAl
I 14
vitetvz
Roc d. Jot RAN.
PEES COLLECTED
singl. S.
Building
Plumbing
Mech.
Plan Check
/EPA
Mobil. Home
Other 1SPegif1
TOTAL
03+ 1.00
•21.00
k
3-80
f9.
•A� v
'
M'r'nIM$Isr
a011
01-1
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION: --( (774411
a (?4)
SET BACKS
DATE REMARKS:
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