1981, 04-16 Permit: 81A-3206 InspectINSPECTION RECORD
OWNER LO ATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
(N4-4(
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99360 / 18081486-38]8
APPLICANT, COMPLETE NUMBERED SPACES - PRESS BARD TO MAKE 3 COPIES
�rB AD
1 L�4' iLO 3IAILI y s ON/
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NDMBERIS
OWNER
a E,/,/5.
ODRESS
ONTRP.C106
i1 //Naw P/ fr #(-7
�' ADDRESS
DESIGNER
5.
PHONE
yG 6-dvs3
:IP
9 9.,0/
Northat 5e1 BacksISoul HI sal I0MI
PHONE
7* (- /DC,
zO9a/6
Type Const.
oaap.ner Sprinklered
Ovm Ono 0 Retra.
PHONE
Valuation , BuliclIng Auea In SR. Ft.
ADDRESS
EIP
Aoldln Floor
Upper Floor, I Gers9s Arm
Storage
CHANGE OF USE PROM ITO
e.
Area of Decks
Flnlenea Basement
Onfin. Basement
TYPE 0 NEW 0 ALT. 0 AWN. 0 RPL. 0 SAVE.
7, OF 0 131-0. 0 PLM6. 0 MECH. O M.S. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms INe. ot Dwellings
CERTIFICATE
of EXEMPTION
Reed. rotRau..
DESCRIBE
,
VALUATION SOURCE GAS ELECTRIC [ WATER
UTIEITIES
Crum. Olst.
Location 10009)
SEWER
OwnersPIP
Public OPrivate 0
USE CODE
I hereby certify that I have read and a rained IIIIS enoliration and have Prat) tin, t' 111 „tv Irltlderl
typ,
P ssIdc, and know the s X br t and c act. 411 nitnni,Iits of I'.Iv,. Iv oh )
e11) work will be c mplied with whethe spcified hewn, o t int Ill art 10 ail at
to Owe authority t0 violate or cancel tl to nrO0ISIOI/S of any uthet shoe it tonal law Its.0.100101,01,01 the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
AA IP lu API'( ICA 1100__L� - __ — SI/,NATI I)IL 1,f 0P/I 10451
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAML DATE
Syl..wmlt
FEES COLLECTED
SI 01 $
Building
Plumbing
Mech.
N•I,
Plan Check
/Cf's�ei
6560
Meblle Home
Otho ISpeCify)
PERMIT NUMBER
4• •1600
1600 to
+16008
•000 0
h
04-07 — 81
7 8479
TOTAL E /44..9e,