1981, 04-21 Permit: 81A-3457 Inspect4,
OWNER
INSPECTION RECORD
LOCATION
CONTRACTOR
N S E
SET RACKS
TYPE OP WORK
FINAL INSPECTION•
DATE
REMARKS::
�,La�a�MBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Btt JEFFERSON / SPOKANE, WASHINGTON 99260 / IBM 45E36(5
APPLICANT: COMPLETE NUMBERED SPACES — PRESS.
un111/ ID MAKE 3 COPIES
Age ADORE 5
313.10q Si'13;1-V6 756
LEGAL DESCRIPTION — SEE ATTACHED
NER
55ZIP
PHONE
918PHON
9'.2L
92LE 7/fI7
C TRACTOR
✓ /�.Ill.[e.P � NZILLGx
PARCEL. NUMBER/5
eel
Data one Classification
n
ADDRESS
zo
0vee ON° 0 0.ae.
5.
0E510
PNONE
Value. on Building Area In Sq. Ft.
ADDRESS
Main Floor
loo Garage Area
StOrage
CHANGE OF USE FRO
6.
TO
Ana of Docks
MM easement
UnNs. Bamment
7, • PC 0 NEW 0 ALT, 0 AWN. 0 RPL 0 WE l7 OTHER
WORN 0 BLD. 0 PLME. (Q MECH. 0 M.N. 0 POOL
No. Bat
Na. Stories
No. Rooms
CERTIFICATE
of EXEMPTION
, 1
ALUAiION oa6T d V
0 oqw TER ( WA
GA LC R
A — UTILITIES C
Enum. Dist, Loudon (Ara)
SEWER
Owmnab
Puolic 0 Prime 0
USE CODE
eehy certify that I have read and examined this application and have lead the "NOTI('.I' provisions nclude
ieverSe
side, and know the seine to be (rue and correct. All p of laws and oldniao' ea u1 Ing thi
.ype ofwork will be complied with whether specified herein o1 lint.
The granting el ,i 01,11 l 4010 not (emu(
^ glue authority to violate or cancel the provisions of any other slate in local law reyul.dnln 1•.1Inlructiun 01 111
perlonnallce of construction. SEF. REVERSE SIDE FOR REQUIRED INSPECTIONS
IGNATURE 0n AI'PL. ICAN 0 eC�K
- GATE OF APPLICATION �—L.i-B�
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
FEES COLLECTED
gi
Building
Plumbing
Mech. /N�
Plan Chock
BEPA
Motels Home
Other lspecifv1
TOTAL
/A 3 7
•180
o1900 t
•180,00D
•0001
00-13-8.1
3 6479.
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