1981, 06-08 Permit: 81A-5574 Inspectr
, OWNER
INSPECTION RECORD
LOCATION
CONTRACTOR TYPE OF WORK
N S E
SET BACKS
FINAL INSPECTION:
DATE
7RKS:
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE. WASHINGTON 90280 / 1800) 450-3076
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1.� E. 10503 Buckeye
LUT
BLOCK
SUBIIIVISIUN
2.
a OWNER1 W. Catlow
ADDRESS
E. 10503 Buckeye
CONTRACTOR
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
PH924-1080
ZiP
99206
Servs soft Systems
ADDRESS
V. 507 Indiana
DESIGNER
6. ADDRESS
TO E6651
ZIP
99205
PHONE
ZIP
CHANCE OF USE FROM
ATO
Apo, Set Back. In F
North Louth I estIWNt
size of Pares!
To�uwnc sP.mkie,.d
Type Const.
❑T.a Ono rr Rx•d.
Valuation Building Ares In SG. Ft.
main Floor Upper Floors Area Storm.Aru of ....Upper
Pinion* B.xm.nt
Ural, Basement
PE 0 Nt,.
7, TY
WORK 0 BLD.
W HIMS. WORK
8. Soft Water
VALUATION
0 ALT.
S1 ILME.
0 AD'N. 0 RPL 0 NYE.
0 MECH. 0 M.H. 0 POOL
0 OTHER
8.
SOURCE
No. Cato No. Storers I fI No. Rooms ro. of Owellings
CERTIFICATE 5054. I Recd. �J0tR.*'e.
of EXEMPTION
loom, 01a1,
LOOK. (ANN
UTIe.ITIES
GAS
ELECTRIC
WATER
SEWER
Owner MN
Pu011e 0Prlv.le 0
USE 000E
I hereby certify that I have reed end examined this application and have lead the "NO1 1f'1 " niovislons Included
on provisions side, and know the same to be true and correct. All provisii, of laws .00 in sin sennas governing this
typo ofwork will be complied with whether specified herein 01 nor 110 granting 01 .1 pal I' I noes not presume
to give authority to violate or cancel the provisions of any on,ei . ., lnca1 Lew imolai., construction a the
performance of Construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
UATE OF APPLICATION 6/4/81 SIGNATURE OF APPI WANT
SPECIAL APPROVALS
NAME DATE
•
n ginerir
mines
e5,10011X1
SPECIAL CONDITIONS:
/EEE COLLEcrtO
81501 0
Building
Plumbing 5.00
Mach.
Plan Ch k
SEPA
Mobile Ham
Other ISeeclly)
TOTAL S 5.00
03• *500
*500 K
*5008
A *000.8
557.33
06-08-81 `
A,. 6 4
WHEN MACHINE VALIGATED iN 01)6 SPAAE.