1981, 06-02 Permit: 81A-5265 InspectSPOKANE CUUN I Y — BUILDINO.CODES DEPARTMENT
0,0 NORTH 911 JEFFERSON , SPOKANE, WASIO .0STON 99260 15091 .B..6 SETS
APPLICANT: COMPLETE NUMBEIrED SPACES I'M ; 1,.I ID I MAU "1 1 I111
JOB ADDRESS
72,10 N, ‘inri
LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOLK SUBDIVISION
2. t ObALI-ILITC Esrorcs
''"Nt.L‘hroi. Ate -Kay
PARCEL NLIMIZER/S
ADDRESS
N•zglai12t -e.
ZIP
A...100 Se; Bac,. in Feet
'Sown g
CONTRACTOR
SI 141E5 (-FAIRWAY CPMR1fuY)
4. ADDRESS
E • 5•Pea6ur
DESIGNER
5. ADORE
a"-zS3--5a40
ZIP
61Cr.C.3.,
Size of Parcel
"70x 10
1 Omccu_pian,
Zt3110
2C'2. /4on4C
Spelnkiereo
noesDo, Do,,
ZIP
Main Z our
BLIIICIO, Area In Sq. Ft
4P -A -
F100, Gald9O Area
CHANGE OF USE FROM
S. •
TO
FiniSned Basement
TY
7. OF
0 ALT. 0 AWN. 0 ROL. 0 !SIVE.
O PI -Me. 0 MECH. 0 M.N. 0 POOL
No Stories
0oorns No o owellIngz
8. 1DETACI1CO 6.141-12.186E IU/4L.1PI
VALUATION SOURCE GAS ELECTRIC
911.Z.404 VTIMIES
CERTIFICATE
of EXEMPTION
I_5zon. ,
Rezrd•
Reed NoVewe.
Loce ion r
wATEN
SEWER
OwiiershIP
1,511( 1 )15550e I
USL 1.001
loi,.l,y1-P,tilV 111011 have mad and osemlneal r0 01 aa.
on revers.. ode, Jrirl know the same to be true and correct All p000lolo id r 1, .1,,
type of work will be compiled with whether specitiod hnintri rrt HIlL
to give authority to violate or cancel 1111 provisions or env 00101 Stale 01 1(0,11 !'H 1I1
performance of construction. SEE REVERSE SIDE FOR REOUIRED INSPEC7 IU
IMO- OF APPLIcAlION
S/Z,NA 1,1111- rot!
SPECIAL APPROVALS
NAME DATE
• 11.1111 • o
TOra14411
Fire Marshail
<a. Lnglneee
T'Br IrGO
igart20:0
SEM cnocklist
ICIAL CONDITIONS: Lie -066A -GL
13118-z-
"PcoN ww9r1-
5-T f FOC,32, Ea VC
FEES COLLECTED
S $
BuOrlIng 35 • tO
Plumbing
Mach
Plan Check
OEM
MobHome
Other ISp010
I
TOTAL $ .325-C'e•
a '19
0.1H5N IstAl 1111, ,11 IN IRIS SCACE,
IHis Htconcl, et NM,
INSPECTION RECORD
ADDRESS
DATE
• /
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