1981, 04-29 Permit: 81A-4072 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
),-7
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (60914660616
APPLICANT: COMPLETE NUMBERED SPACES — PRESS II I) 10 MAKF 3 r'pl'IES
8 ADDRESS
1. ustif
& R A- A, D
2.
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NDMNER/s
OWNER
NONE
YA,I T F D ie o w y�8-Pe'sr
ZIP Actuai
S.Racks In °
ONbCoy J4kZA JD R _
ae of Parcel
'k ADOR
059 4 riiv
s
5a,s[ t-TRt/v_-
DESIGNER
E' ADDRESS
.517 X7.471.— Trp Gen
25'7.201(9
oe. �Naalfl a�Io
06es 000 Sprinkler.
Rena.
PHON
Valuation
elu110Ing Area
zip
Main Fioor
upper Flops r Garage Area
Storaee
CHANGE OF 1.159 FROG'
e.
TO
Area of Dec.
I.. easement
Unt in. Basemen
7. 'PE 0 NEW 0 ALT, 0 AD'N. 0 RPL. 0 MVE.
....K ❑ m.o. 0 PLMF X MECH. 0 M.N. 0 POOL
oEScR,E&00616
UATl0N 9OURCC
B. UTIlIT1E
0 OTHER
GAS ELECTRIC U WATER 1 SEWER
No. Bat
o. Stories
No. Room.
CERTIFICATE
of EXEMPTION
urn. 616. Location (Arial
Owner..
Pub. ❑Puvalp 0
I hereby certify that I have reed and examined this aneneehun end 1167.1 ,nud the PJII i '
on reverse side, and know the same to be true and correct. Al) ,,,,6,sn,lls in Inw, Fo.
type of work will he complied with whether specified herein o . tht uhuthn
to give authority to violate or cancel the provisions of any other sto�I
le res In,:al law
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION:1
A.
DATE OF APPLICATION ` "Z7,4/_ SIGNATURE. 00 Al"`�
{ 1 I, AN _
69CIAL APPROVALS .FICIAL CONOIT10NS:
.NRR o5.ta
USE CODE
17.6
A£E5 COLLECTED
/11
Ga.
• 1000
•1400
*111000
*000 0
a-29-81
8 6474
1
Single $
Ruudinit
171.51:69
40
MecM1. f0—
Plan Check
SEPA
Mobile Honig
006,, Specdyl
net