1981, 12-22 Permit: 81A-8069 InspectADDI(ESS
INSPECTION RDOORD
1
DATE REMARKS
Jam' /; 6)2 1 /
(vU� /2& b - 12
lc -3 - $5'
E
12rtJ /
I 1 1
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPC.ANE, WASHINL°,ON 99260 / 1509/ 4560675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
2. Z
OLOCR SU:OIVISIUN
Attl¢cEN
LEGAL DESCRIPTION - SEE ATTACHED
CAxor.or-r_.� S oib 0I' 1:2\L5
PARCEL NUMBERS
TEIv-c
OWNER
a DDRESS \r7Nwi -VFEIIFtD
U 4401- E.uca. -
4z$3 -4,244
356q-8-DI3Oz.
ZIP
4Azu,
Actual Sot Backs In Feet
North 13.' 150019
Iw.o 'Ot
CONTRACTOR
4' OD, 8631951
AD
SiWNs
PHONE
ZIP
T7X RS
rp. <oml. o
Zone Classification
30-41•TURML
Sorinkler.d
Oyes ❑ o ❑ Recta.
DESIGNER
6' ADDRESS
PHONE
a1 3, 3tZ
buliclIng Area In 5a. Ft.
55
IP
CHANGE OF USE FROM
9.
TO
manpor Floors e Star
Area of o Inl.hod 9.,• ont untie. 09t.m4.111
TVP[ Ly NEW 0 ALT. M AD'N. 0 RPL 0 MV!.
'' NW RN 'OLD. 0 PLMO. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. I No. tool.s
Rooms
o. of Dwellings
CERTIFICATE
of EXEMPTION
sad
OC
9.
9:
lSCRIOE wDISK
O e0
Enum. DRI. Lout.:. (Aram
VALUATION WAT silo
{OURC[ GA{ ELECTRIC 2530 SEWER
3.512 . UTILITIES 0 93.9( .mm 0 Prlvat. ¢'
USE CODE
I hereby certify that I have reed and examined this application end have read the 140 la f Jo focital,
oft MC. aide, end know the Lame 00 be true and correct All provIsions of laws aml cn.he.ine weeten, 110.
type of work will be complied with whether specified herein The wanting I ii01. t ,nesurne
to give authority to violate or cancel the prov's orfs of any othef stela or local law regelalconsitnichon or the
performance of con.truct on. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION , Z SIGNATURE or APPLIGANTT`-^`
SP[OIAL APPROVALS
' NAM["00711
.allh
an
o yn_
96 UL OONDITIGNSI
FEES COLLECTED
S' 91 {S{._1A ....
Building .ff_
Plumbing
Mech.
Plan Cheek
SIPA
Mobil. Home
Other (Specify)
TOTAL
:44.09
1 OW- -15D�
C2• •4400
04400 E
•44008
•000 s
79993
08•-10-81
P 6479,
i