1981, 07-06 Permit: 81A-6670 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSEW
SET BACKS
TYPE OF WORK
FINAL INSPECTION: // xS'' ? ' "ed
DATE
HI- zed
REMARKS:
/&2 1
aceatietlf,.14 ativeol.s tom/
LAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE. WASHINGTON 99360 / (6091956-3675
•
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
,oV I .777 I11IIS��S 1V,L ✓f
t LO Z K1 j5UBDiVI510N�I� `� �v
I
LEGAL DESCRIPTION — SEE ATTACHED
a IT A +02,141k
JET rLUk''
ADri? 2 lo)C
DESIGNER
6.
�°zti -1552
*5720"7
PHONE
ADDRF:66
PARCEL NUMBER'S
Actual Set Basics
st
I,e or Pares, 9INorthS0uth East
ne cHmnM IW9
on
Tvw const. ogogwncr Sorinkeved
Ores ❑No R.p•d.
Valuation Bulls.. Area In Sp. Ft.
Main Floor Upper Floors .rage Area Storage
CHANGE OF USE FROM •`To
6. I
Area of Clacks
Finished Basement
TVPE Q'NEW ,❑ Wlam ❑ AO'N.
0
RPL ❑ "VE.
ny0 ❑ DLO. O PLMB. 0 MECH. 0 M. ❑ POOL
B. DEs �i:if51' Si nl , I�Lk-rJ
0 OTHER
No. Baths
No. Stories
No. Rooms INo. of Dwellings
CERTIFICATE
of EXEMPTION
R.ed. rot Rea,.
Enum. ORt.
Location (Areal
vALUATION
9.
SOURCE
UTi10.ITIEs
OAS
ELECTRIC
wATER
SEWER
Ownership
Public 0 Private ❑
USE CODE
I hereby certify that I have read and examined this application and have rend the "1,10.11I;1 "er r included
op side, and know the Sarno to be true and c and/ler/ow/es All provis.ons of laws ad err/lernncesgoverning this
type of work will be Complied with whether specified herein or not. The granting of n 'II, does not presume
10 give authority IO violate or cancel the provisions of any other. Sta x 1r Inl:nl law regular 1 r rtrrsttuetion 01 the
nee folntanCe Of Construet1011. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS �yA
DATE OF AIPLICA TION / re' - SICNATUHF OF APPr rt'ANl�'��`r"4'✓• `.• "��Q'�
SPECIAL APPROVALS
NAME DATE
4110, Health
Ian• E.emtn9!
SPECIAL CO DITIONS:
Toa
W
1 tAl/1/444reoe••
;- vsi 0 i I
Z dltil
FEES COLLECTED
Eng] S
Building
Plumbing
Mech.
Plan Cheek
&EPA
Mobile HPme
Other l9Pealhl ..J�
TOTAL & 5'
030 •5300
.5300 rn
.53001E
9 *000
6669,9
06-07-81
8 6479.
WHEN MACHINE VALIDATED IN THIS SPACE.
TOR RMOMFS A PPRMIT