1981, 05-19 Permit: 81A-4863 InspectRAI P. Roc
r. -
FEES COLLECTED
Single 9
Building
Plumbing /
MEP
Plan Cheek
BEPA
Mobile Home
oder ISPORvI
TOTAL S
'PERMIT N
UMBER
+900
.000
.9009
ea(0o 0
6_19-61
e 6679
j� UMBER —_—
E ADDRESS
APPLICANT:
LOT I •LO
APPLICATION/PERm i
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 61I JEFFERSON / SPOKANE, WASHING
TON 99260 / 16091456-3675
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIFS
cObDIvISID &
S.
'/9// 607,1 e ,
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
s to Feet
Amnia! set e klwut5zst .cu,aulo (West
No ive
CONT AC R
8Ar—
/2; .�7n7
OE;IDNER
ZI
PHONE
ReolPartel
Type Conn. I OauPIMA SPrinkleree
❑Vas 0Ne 0 nes,
Value. Bull.. Area In Sc. Ft.
ADDRESS
ZIP
al
CHANGE of USE FROM ITO
VOW Flwn Oeree
,., el 130014s
FNMA, Basement
Unnn. B,semwl
T'PS 0 NEW ,yy,❑ALT. 0 AWN.0 RPL 0 WIVE. 0 OTHEN
WF 0 ELM. PLME. 0 MECN. 0 M.N. 0 POOL
ORN
No. Storm
0, 1,10000
No. o D Clings
CERTIFICATE
of EXEMPTION
f� man. Oat, 1 (Am)
DEECRIEI WORN " . � - : t�J IO — 1 / _ �`I , Laut on
A OAS ELLE,CTRuIC•TI'/WATER II. SGEFWCERX-VOwnersnip USE COOS
�['tlpTION SOURCE I p ullc 0Prlr,te 0I
0 ''that 1 lie I u I rovlslons nclul
luon ll
I raver ce side,
'that I Na he sdame and
examined this application reel olohay is ofd [laws he Nnd ., ' 11ni c0 governlnq th�i
reverse side, andlknow the a with
whether et true cif correct. All not.lThe granhng o p does not
type ie work will be complied cancelce specifiednof herein eor not Taalocal law r galla. nl colnuucti ol"', II'r
to�qq00 authority n, rudtl a or the SE SIDE 0 any other state or Ie
PMTwlnence of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT' S_
DATE OF APPLICATION 1 -` / SIGNATURE Or APPLIC fir%-`/C� • '�'�'�"�'�' "
SPECIAL APMOVALS
to, engin,
DAM
N(CIAL CONDITIONS:
INSPECTION RECORD
OWNER
CONTRACTOR
NSE W
SET BACKS
LOCATION
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS: