1981, 05-18 Permit: 81A-4781 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E
SET BACKS
DATE
TYPE OF WORK
W FINAL INSPECTION:
REMARKS:
NUMfER
APPjICATION/PERMIT
SPOKANg COUf4IY — BUILDING CODES DEPARTMENT
NORTH 1111 JEFFERSON / SPOKANE WASHINGTON 93300 r 15091 456.3675
APPLICANT: COMPLETE NUMBERED SPACES— PRrs91101'_r Ili M AKF
JOB ADDRESS
z
41
LEGAL DESCRIPTION - SEE ATTACHED
a Do rf Go1J�
ADDS I(o c,dku�
AD ESS
i• 7-4 411140
ARCEL NtlMRER,a
Acioai Set 13.. in agit
Size of Pal<•1
Is" Ana ,aa„nu�o
DESIGNER
ZIP
PHONE
Tape Co
OCCUPa
[1011, SOerect
0 Rog'o
Building Area in So. Ft.
ZIP
peer loo
Garage Area
CHANGE OF USE FRO
a
TO
Area o DOC.
railed Basement
Li in. Ba
TV. O NEW ,❑,/Ml�lr. 0 AWN. 0 RPL-
7.
PL
❑ MVS.
7 wobK 0 BLD. ItPL.. ❑ MECH. 0 M.N. 0 POOL 0 OTHER
No Bat
o Monet
o. Rooms
o of Dwellings
CERTIFICATE
of EXEMPTION
Rabid
a.gtReg
OElCRIfE WO
a
num. Olt
Location (Areal
a.
fCUgCE
UTIIITIEf
GAS
ELECTRIC
WATER
SEWER
Public 0brn,a1, ❑
USE COOE
I hereby certify tRSt I have read and eaalntned thlf appllcah)„ and haw ,earl
On reverse side, end know the same to be true and correct All pin, I.iun. .I I.,..
type of work will be co,Pplted with whether specified herein „ I h. .Irau1„n,
to give authority to violate or SRC& the provisions of ally nth., n 10, ,I I
performance of construction. SEE REVERSEpSIDE FOR RE❑UIRLD INSPECTI N
DATE O0 APPLICATION 5/15 /!ll SIGNATURE OE 0PPLI
SPOCIAL APP$DVA 8 V♦ECIAL CONDITIONS:
NAM• DAT•
'."*.0.060•31••tiWP,t•.a,
m
ng air
E.am,ner
000o r'..., kllO
FEES COLLECTED
$ gl
Building
Plumbing
ecti
Plan Check
EEPA
Moble Home
Other ISPeclivl
r Oc
TOTAL $ J
3r/k d l$1 i . N
ibd
•