1981, 09-16 Permit: 81A-4463 InspectINSPECI'ION RECORD
ADDiESs
DATE
REMARKS
-"^ e�
_A -i 2e /Z ice ./
lw.AN NUMBER
,l
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTHER JEFFERSON I SPOKANE wA6HINGTON 99260 / 1509)456.3675
APPLICANT: COMPLETE NUMBERED SPACES - PRI' r•.!ID To MAKE
D
JOB ADDRESS
,. 1l' r. r-
LAl BLOLA SUBDIVISION
z
LEGAL DESCRIPTION – SEE ATTACHED
(�EKer ( }M{2rr
• ADDRESS
P ARCELNUMBEOIS 0 -562. -
al 2 c5-'
-562.-
al2cS' 5 I 4147
of -Go T / 5 as' AR
ZiP
Arturo ser Races Sa rn•
N IIOrE it
iwe.rA3'
6.
cDI.TRGgTDPV(, N1
0417;14- 6-. 5'14
a -170z
0
w5w i 3011.
Zone classification
111,,Ono"°Rea,.
RFIONE
oho acre'
ADDRESS
IP
aln
krisee too
Garage Area
CHANGE OF USE PRO
O
Area of Deck
In ed Base
um Basemen
TVPE INKS. 0 ALT. 0 AWN. 0 ❑ MVS.
i. YYORN ❑ BLD. 0 PLMO. 0 MCH. em.H. ❑ POOL
0 OTHER
o. se. No. Tim
No. of 0weirinea
CERTIFICATE
PI EXEMPTION
R.a'E./ R"
or Raced.
a DqEP: 'iFN.O` / 12" Co0>
LECTR1CWATER
9. 10,000J31A
SEWER
P„6ae10 ,0.l. Ia' sEGDDE
I hereby < rlily that I have read and exanicied thi1 application and hay.
Ors levelse side, and know the carne to be true end cOrtect. All'Ammo!, Fid
typo of work will be complied with whether specified herein n
Io glue authority 10 VIOlgto o cel the pl ovisiorls 01 airy crlh�n
I can sgi • -,Ih-.. I,..
ATEOF APP 01 COnStr _ion. SEE REVERSE SIDE FOR REOUIREU INtiYF 'TIOn
• f 01 construct
=L: . __.—__sn;NnnHt CIT nrrinn ? /{ /4:t'
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
/f7r L)
FEES COLLECTED
Si gl $
Building
Plumbing
Mech.
Plan Check
$EPA
Mobile Home
Other (Specify)
TOTAL $
PE NON-asglic
•5000
.5055
•
_5005
kiAx)