1981, 12-16 Permit: M81A-2067 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: 3"�" '� h P
REMARKS:
(41 czi,54-
iz/L-1/
c t j
)11,14741/ c4=-16 ah 12 -Cr,
APPLICATION/PERMIT
SPOKANE COUNTY r BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPONANE, WASHINGTON 99200 / 0091 4594875
APPLICANT COMPLETE NUMBERED SPACES- PRESS HARD TO MAKE 4 COPIES
...ADDRESS
H. 12010 Buok.y.
211
LO, BLOLK ISUBUIVIBION
OWNER
Sem Lan.
PHONE
928-1381
ADDRESS
S. 12010 Buckeye
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER
9.28.01221.10 in
Normo wutn
CONTRACTOR
4. ADDRESS
5.
DESIGNER
Valley. Fireplooa5 In
E. 16610 Sprague Ave.
PHONE
922-2780
Sia. or Parol
IW.R
nn. CAnm.to
ZIP
99037
Type Conn.
Occupancy
Veradal.. WA
Cost -rooter 9...iolty
No. VA LL HF 626 0141
PHONE
Valuation
Dv., Sprinkler.
Building Area in S0. F
aP
Owl Area
semen! Area
Gann Area
6.
CHANGE OF USE FROM
O
Soli! Entry
p Le
Randle
No. Bath.
No. Floor*
TYFS
0 Nio ❑ ALT. 0 AD'N. 0 RPL. ❑ rave,
7' OTHERmooRN Deco. 0 PLS..0 MECH. 0 M.H.M.POOL {`1CERTIFICATE
of EXEMPTION
Hing^ KTJ, Topa Jet Air Wood Stove
DESCRIBE WORN Install "Bios.
No. Roo
•
.c Room
r'"'"'
VALUATION
:E.
CTRIC
ATEA
SEWER
I hereby certify that l have read and examined this application and have lead the "NOTICE" provisions included
reverseon side, end know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any Other s0te or I Inc regulatin const 'on or Me
perfoDATE 0-11
1...° ju . SIGNATURE _ ��
UATE33 I/`�/� 1�i�✓J//
IPICIAL APMQVALS SPECIAL CONDITIONSI
Darr. Rao'D. REM• Ready for inepeotton.
Inv. Health
P. Engineer
Uono cru ran.
PEES COLLECTED
Single g
Building
Plumbing
Mech.
Plan Cheak
USA
Mobile Home
Other ISp.o fvl
TOTAL S /7'
r
PERMIT NUMBER
gat. —
DATE 3/4/81
u+ •17.0
•1700.1
•17000
a •000
20660
03—.0-50.04/A
3 6479.'.
nem. ...,..mac onrr,...T nrnr TM, CPACLN