1981, 07-08 Permit: 81A-6672 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
FINAL INSPECTION: Lf --1 3 < <G
NSE W
SET BACKS
DATE REMARKS:
-�- �-¢e, TSL ea .“ C4') gev
(a'e PL 1/4, (2eo.
z{ zj Via !�i'71� �E lir a�� (e 2C/�/�tJ
[.AN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
N0RTH 511 JEFFERSON / SPOKANE,' WASHINGTON BO0B0 / 150P) 066.007E
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
or}..14Aki `15
ttJE�*Isu.Divf5lrsR
z. I II
OWNER
ADDRESS
ef r1701 1-1/64A
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
ZIP
PARCEL NUMBER.
Actual Set Backs In Feet
North (South
lEast Lest
:z
`OIR PLLIfr J 1
DDR< 2- ev>c 1(00
=1551
2-0 7
SIG. of ParCel
Type Const.
oaPonhPr Sprinkler.
0N* 0 R.1,
DESIGNER
PHONE
Valuation IBuilding Area in 55. FI.
LIP
Main FlOOF
Upper FI*o [ 1 Garaae Area
Strung.
CHANGE OF USE FROM
6.
TO
Area of D.cke
Flnlahea Basement
Untln. Bapm.nl
TYPE e/NEW 0
� 0>0... 0 ADVS. 0 RPL 0 PAVE.
wown IJ 0 BLD. PLM0 ME.. 0 M.H. 0 POOL
o
❑ OTHER
No. Baths
e.°ES ir1^�b�tJ� 6.xKID
AL MOry OURCE
B. UTILITIES
Enum. OHL
WATER
SEWER
No. Stories No. RoomsRe INC, of Dwelling.
TE
lupe. I d. rot Rent.
CERTIFICA
el EXEMPTION
Location (Area)
USE CODE
Public a0 Prim. 0
I hereby certify that I have read and examined this application and hove read the "NOTIt L' ;envisions included
unrevt side, and know the same to be n
true and correct All p,uv,sir,I of laws anti ,rrl.n a es governing this
rs ofwork will be complied with whether sprc,tIed helem re not The PIanlrng of .1 timet eines not presume
,e give authority to violate or cancel the provisions of any other stare Or lural law 10qul,uln, , nn.huCnon Or the
performance of Construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
7- 7- -. S/ Sir NAIURE01-000111,ne t„420e 7p.(,r,..y/y_
11010 Or APPLICATION
SPECIAL APPROVALS
NAME DATE
f1,11,e,
SPECIAL CONDITIONS:
IKlf SIIlj.
b/ u.
FEES COLLECTED
8'gl. $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Hein.
Othe ISP 77)
TOTAL S
03* *69.00
*6900 1'0
•69005
•000 8
6671?
06-07-81
6479.
i
WHEN MACHINE VALIDATED IN THIS SPACE,