1981, 02-23 Permit: 80B-4882 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSEW FINAL INSPECTION:
SET BACKS
DATE REMARKS:
--
*LAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE. WASHINGTON 88280 / (500) 468.3875
APPLICANT COMPLETE NUMBERED SPACES — PRESS HARD TO, MAKE 3 COPIES
LOT ° ADDRESS
0N-5162,- -1)
LEGAL DESCRIPTION — SEE ATTACHED
• OWNEIv^A.I _Q tt lJ• .�.j fi lb g Ara
CONTRACTOR (i�
• MOROI
DESIGNER
B' ADDRESS
T.
S.
P ARCEL UMBER'S
PHONE
IIP
Actual SO Backs In INS II
North (South st [NW
ONE
z-fs-�r�.ra
Size of Pn01 Zona Classification
ZIP
Type Conn.
oauancr Spdnkl«N
Ova. DNo 0 Rm'a.
PHONE
ValuatIon (Building Arm In S8. Ft.
ZIP
Main Floor
UPP« Fle0r. Oanm Arm
Ston.m
CNANBE OI USE FROM
Area of Dec.
(MMM A.amaln
Unfln. 0.NmNI
TVPC W..w n 0 ALT. O AO'N. 0 RPL.or 0
O MVE.
WORK BLD. 0 PLM.. *MECH. 0 M.H. 0 POOL OTHER
DESCRIBE WORK 'as j
VALUATION SOURCE ~^'011E"ELECTRIC WATER S WER
UTI Tlu
No. Bath.
No. Stories
CERTIFICATE
of EXEMPTION
No. Room. NA of DW.IIINs
Ric'. blot RN'd.
EMIT. OHL
Location (Arm)
Ownarthlo
P ublic 0 PrIvat. 0
USE COOS
I hereby Certify that I have read and examined this application and have read the "NOTICE" provisions Included
on reverse side, end know the same to be true and correct. Ali provisions of laws and .,tdurances governing this
WWI of work will be complied with whether specified herein or not. The granting of • parmIr does not presume
TO Sive authority t0 violate or cancel the provisions of any othol state Or local law refMl.inn0 construction of the
prrformence Of commotion. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
DATE OF APPLICATION__ 12 b V SIGNATURE 04 APPLICANT
SPICIAL APPROVALS •SCIAL CONDITIONS:
NAME DATE
0.110aa/MR5..
F Marshall
Englnesr
1116.
FEES COLLECTED
SNI
B uilding
Plumbing
Mesh. 4-0
Plan Cheek
B IP*
Mobil. HUN
Other (Specify)
TOTAL
PERMI 'U
M I..'
04. •900
.900
•4.098
A •000 8
46610
0 647Q.1
o.