1981, 11-23 Permit: 81B-2049 Inspectpp , w-
INSPECTION RECORD
OWNIN LOCATION
CONTRACTOR TYPE Of WORK `•
N S E D FINAL INSPECTION:
SET KS
DATE REMARKS:
I
a
i
1.
JOB ADDRESS
LOT
2.
BLOCK
ArrL11r'ATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE. WASHINGTON 99260 / 1509145E-5675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
E. 8524 Knox Avenue
SUBDIVISION
OWNER
Kenneth E. Jeffrey
a
ADDRESS E. 8524 Knox Avenue
PH926-0179
99206
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
07544-9049:
Norml
Actual Set Backs In eat IWe
south
CONTRACT Same
'4' ADDRESS
PHONE
Floors
Sue or Pena neClassification
Type CO..
DESIGNER
6. ADDRESS
PHONE
Oyes ONa CI Rep a.
V.I9anen Building Area In S9. Ft.
Main Floor
Upper
O Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE 0 NEW
7. OF
woRK 0 OLD.
DESCRIBE WORK
0 ALT. 0 ACPN.
❑ PLMO. larAKcH.
0 RPL.
0 405.
a Relocate gas meter
❑ POOL
0 OTHER
No. Baths
No. Storlos
No. Rooms
No. of Ctwel gs
CERTIFICATE
of EXEMPTION
Enum. Dist.
1 WE
Location (Areal
VALUATION
SOUVE
UTIISTIES
GAS
XX
ELECTRIC
WATER
SEWER
OwnerMlp
Public 0Private 0
USE CODE
I hereby c t.ly 1 _ mid r Ibis apphcelinn and r:.. read the "NOTICE" Illovisions Inclu Jed
cm srcle n11 know the c I be I and v /111 of laws and ordinances governing 11n;
type of r work will III' n tnlird w0II wi.c..c', icl10011 IIIri'n0 I lir sgranting of 0 perm, does n etrrpru
to give authority t the pl.rvislinns of a r local regulating I.rnsnnetiun orthe
performance of SEL nvEVEIISE SIDE FOR 91011101:0 INSPECT •NS
lilli
SPECIAL APPROVALS E
0.2116 NAME DAT
Piro Mersnall
SPECIAL CONDITIONS:
Not Reg,.
FEES COLLECTED
S' flI S
Building
Plumbing
Mech.
Plan Check
&EPA
Mobile Home
Other ISpecII5I
12.00
TOTAL S 12.00
L'&b�
71-20-81
65 T9'
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
D IN THIS SPACE...