1981, 04-03 Permit: 81A-3058 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W FINAL INSPECTION:
SET BACKS
TYPE OF WORK
DATE
REMARKS:
t_3-71/ t fir�.a "./ �'p
N
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH all JEFFERSON / SPOKANE, WASHINGTON OSSEO / 16091 e68 -UM
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Rammimegoreeti
raT BL CK SUbU1V UN
2
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBERS
ow
rn t-. Jago kA tai I /
ADDR B
/oto
R tea,[ nL -C.(trfi?�CckLexLt — eV, 1104 f/
. D R t 7o,- QYiues
IIP
Actual Sal Baca. In Feet I
North 5
opma wes
PPa-ross
Size of Parcel
DESIGNER
5. ADDRESS
gulp
PHONE
Typo Const.
t
Zone DRa.Ifla.tlaa
Occuwncv SPnnkl.red
Oyes 0Na 0 Rap',.
ValuatIon Building
In Sp. Ft.
Mee
ZIP
Main Floor
Upper Floors Games Arm
CHANGE OF USE FROM
a
TO
Area of Decks
Finished Basement
Unfin. B•1411101111
S
%. OR 0 ALT. 0�AD'N. 0 RPL 0 MVE.
WORM 0 SLD. 0 PUNS. IYnrIECr-H. 0 M.M. 0 POOL
CRIBS W RK
a 4- /76,0,4 1672-c. ,dr
g/,IA 10SOURCE OASTELECTRIC WATER ,
UTILITIES
0 OTHER
No. Stone I No. Room IL`I of Dwelling.
CERTIFICATE IJI •p'd. I a Roc' d. rat Repd.
of EXEMPTION 11
Enum. Diet.
No. Baths
Loudon (Area)
SEWER
Ownership
Public DRlvate 0
USE CODE
.1 hereby certify that I have read and examined
ned this application and have lead the. "NO TN: L'r included
n reverie title. and know the Milne to beRue and canon,. All prnvi.lnns of laws and (nilinancrs governing this
type of work will be compiled with whether specified herein n L HO.The granting of a nellnil HOnot presume
to give authority to violate or cancel the provisions of any omni 1tate or local law recul.0 ori construction of the
'"performande of conttrucdon. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
DATE OF APPLICATION _ SIGNATURE OF APPLICANTi
SPECIAL APPROVALS
i�, NAk1E QATR
!a. Enala..r
!ma Emegow
CIAL CONDITIONS:
-7. P.)
�'IYIrJq -
P�icNl ('
10
FEES COLLECTED
5,4 f
Building
Plumbing
Mech.
Plan Chet
EEPA
Mobile Horne
Other lSp.cl y)�/ 010
TOTAL
,Yf � /011,-'99g//
04• *.100
*19.00 0
*19008
9 •a0O
30578
04-03-81
8.; 6479y4..
WHEN MACHINE VA LMATFn IN IHIS SPACE