1981, 02-13 Permit: 81A-0823 Inspect�j
UNSPECTOON RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK. �
S E 1fi1 FINAL INSPECTION: ��ti�
SET ®Aces
®ATE I REMARKS:
a -(s
0
" °`" APPLICATION/PERMIT
V1,
• I , SPOKANE COUNTY SP BUILDING CODES DEPARTMENT
"
n 1 o a
NORTHeII JEFFERSON/ s aeo I lawl ue-aex°
APPLICANT: COMPLETE NUMBERED SPACES— PRESS HARD TO MAKE 3 COPIES
' AB ORE58 -
�p
f
04 • • 1 7.00 {
t N.• 3 4i � LEGAL DESCRIPTION -SEE ATTACHED
.1 Z00...
822
PARCEL NUMBEFUs
v,foNE
�I.OI�I
01-26'-8.1
Fi 1,�I�Q 2
3.
,
f 6479.
IID RW ZIP Actual Sat E.... In FaN
CONT CT PHONE Slxa of Parcel Zona chadrileallon
f'
k�ADORRS.-.: ..yl. ,t..;.�; .., .+ ZIP TIp Coart. pcueand Spr
-. ..,.: .,J.. ... •:
' Vas (]No. 11 ❑ Rp'E.
,.r 14NER „I PHONEleatlon BPIMIng Area In Sq. Ft.
•M.In
8'+!'MDRBp-' - ZIP Flaar Uppar Floor, O.Mea Area 1 11.1...
" : CHAND[ OF IIBB IROM TO Asea .1 cleck, 1111—..—.t nh.. B..—I
B. 1
No. Bath, Na. Stale, No. ROOT, o. at Dwalllrgr
Ty1E- mew D'�LT. El AD".
•N. ❑ RVL. ❑ M
7: 01 _ ❑ BLP ❑ PLMB. Ei MECH. 13.... ❑POOL ❑ T.E.OCERTIFICATE p d.
MORNac p
in EXEMPTION. III
0
l
DES• POO �R% O E,um. Dlrt. Coulton (Areal
hl
FEES COLLECTfO
VALUATIO.1 SOURCE "AS wgTER SEMER
ELECTRIC Own.r,nla USE CODE
0. UTILITIES Publlc O PrlvaG ❑
Sinpla B
1 haraby certify that 1 have read end examined this application and have reed the "NOTICE provisions included
on aide, end know [he same to be true and correct. All provisions of laws end pilI ii-es governing this
Building
type -ofr work will be complied with whether specified herein or out. The granting oI a ic—n, does not presume
to give authority t0 violate or cancel the provisions of any other state or local law regulars,, cunttruotion ,.the
pas formance ,+I construction. $EE flI. ERSE SIDE FOR REQUIRED INSPECTIONS -
Plumbinp
c
/�«/��
DATE OF APPLICATION,/ SIGNATURE OF APPI.It:ANT _ '_�_'_y_-�
Mach. J�
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAMB DATE
-,
[Tf
Plan Check
Ihpr
av 'I
SEPA
r Y_
1 It
r
Mobil. Home
Other (Specifvl
,
y
o: Englnem
I,y
+I
TOTAL