1981, 07-16 PErmit: 81A-5004 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
7, -°
(PLAN NUMB
.1011/ADDRESS
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON f SPOKANE. V A.4)110309 99210 / 16091 456-3670
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
- 5,3206-o7 Gttu.ts Cc
BLOCK
OWNER
SUBDIVISION
Raaoa- E, -Sean
PHONE
Ceft..-Sge0
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMOER/S
ADDRESS�T
(.U3 ON6Etes 1 CaAURtaNiA
CONTRACFTOR
S. SPM€
ZIP
Aclumi Sal Batas FF
Nortn 19outh
PHONE
ZIP
Tvw Conn.
OncePa nee
PHONE
Eaftna eNsslllu Iron
oran
SprIn
Ores Ono kl0 Rena.
1101 9 Arae In 69. Ft.
vatuatton
/1013R1115/1013R1115
ZIP
.1
Main Floor 1 DPPFsoon ammo p.m.
S10, MA
CNANGS OF USE PROM
TO
Area or Decks
FIn1MeO Basement I Unlrn. Basement
'T 11(NEW O 0L6. I 0 AWN. 0 RR.
0 MVS.
7. ARK 0 Iwo. ELME. Pi/MECH. 0 M.N. 0 POOL 0 OTHER
. 5ESORIEE WORK, �(�r� �` �
Ia '' 'SMAC'.; $ECIOW Xl.�L/' F2iP��
VAL0450i J SOUpp11rrOS LL CiflIC WATER
i UTI LITI&S
a
No. Baths 1 No. Btorle. I Na. Room, r.. 0) Owe11100,
1
Roc o. Irvo1 Rego.
CERTIFICATE
of EXEMPTION
SEWER
Enum. DBI. ILouilfin (Area(
USE CODE
ownerstste
Public 0Private 0
I hereby certify that I have read and examined this application and have reed the "NO lr r I)C Lrtlen
on reverse side, and know the same to be true and correct. All provisions of laws arrrl r �, +Slovernrne this
rr r � .rrrn=
typo of work will be complied with 'whether specified herein or not. The 9rantin9 07 r r of prest,rn,r
authorityto violate 01 060061 the ovlsions of Inr" '^es n
tO,Eiva pr any other stale „i local law rut line ...nrtructn iii ,n h..=
performance of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS j/�,(,/)/// /`�
f/T.1 JSi SIGNATURE OF APPLICANT J<v'.-- ' V /�..sie J
SPECIAL APPROVALS iSPECIAL CONOITIONL: �
N100.16 GATE APR ME.11 . ^ T bel•
Z T 1�pSj�ILA CjC:9J OL>O aM/.
z0' — 110 ea
Lo - tJia eDl•
DATE OF APPLICATION
ares Eeeminer
FEES COLLECTED
S' 91
131.1.1110
Plumbing
Mach.
4.34.•
Plan Check
SOPA
Mobile Home
Other Maundy)
TOTAL $ •-LCJ•mO
— 1—P1
,470