1981, 02-05 Permit: 80-8163 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMA KS:
Sys -/se
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE, WASHINGTON 05300 / (50M) 460.3576
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOM ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
a-ph
R. Ca tav�P+�l
TOR
RUBS
q28 92LS
• NUMBER/S, . .303 �i/ES,F c, rATecr
.�K�. ✓ 'xc,.le.0
ZIP
Actual Set Backs In FM
to 3 15outn62 /
,t .3' 1
PHONE
Else ofPfrse
ZIP
Tyw� s916G«ape.
D[SIONER
A
pORE98
PHONE
valuation
w.a 89
Sprinkler.
Ov., 050 O Ren,
Oar.p Arm
cBMula,I{Ion �% /1
Bonding In Sq. Ft.
die'
ZIP
Mem/ 7 %
Upper Floors
Storm.
CNAMOE OF USE FROM
TO
Rruol. at::
N.� t Unlln. Borer..
TMPANEW 0 ALT. 0 AO'N, 0 RPL 0 PAVE.
pE�7(E 0WORK ELOi. p
& a0UR06 Aa ELECTRIC WATER
UTILITIES
O ELME, MEEK0 M.H. 0 POOL O OTHER
No. Sens
No. Stories No. Room,
No. of Owelllnp,
C5RTIPICATI
of EXEMPTION
town. Obt.
Lomtlon IMW
Rae'd.
R.da, too aa'a.
5EWER
Nnlp U5[ COO[
P otic ❑PrN.t.
kI hereby certify that I have read and examined this application .IIId have read the NOTICE" provisions Included
orbarea side, and know the thine to be true and cone 1. All ntovislons of laws and urdinenea5 governing this
typi } work w111 be complied with whether specified 11/10111 or nol. The wanting of a pelmet does not presume
to ghteigidthorIty to violate or cancel the provisions of any othe, sta10 or local law regulating construction or the
perfor I. ,.. tructon. SEE REVERSE SIDE FOR REOUI RED INSPECTIONS
DATE OF APPLE 0 . �5 fJ SIGNATURE OF APPrICANT
��ti,'•. MECIALA�-p-,v`/ ALB SPECIAL CONDITIONS:
NAM[ DAT[
Ca*SSwle•Or
P lan, E..mln.r
FEES COLLECTED
SI gl 5
Building
Plumbing
Pion Check
SEPA
Mobilo Nam
00Wr ISMotyl
TOTAL S So jos_
PERMIT MUMMER
02•
81629
OB -05L8.0.1
f
6479.
•5400
.5400 4
.54008
•400 8