1981, 01-26 Permit: 80B-4455 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E
SET SACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
1..M1 MUMMER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE. WASHINGTON 90190 / 1509) e[4-0070
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
0 Jos wooREs1
LDT I BIDc ADDRESS,/ 7.,
e10
• OWN
,e
Ry
d ADDR y
4�L3.� 2uS�
ODNIM OR �`�.I�
'east
LEGAL DESCRIPTION - SEE ATTACHED
4
PARCEL NUMBER/[
Actual Sal 9.41.5 In Foot
Mair (south
6N
PHONE
-//70
SU• of Parc•I I LOM CNWllation
er 1707
Type Cons.
Oeeupena
Sprinklwq
Ovs Oleo 0 Nora.
DESIGNER
S' ADDRESS
PHONE
Valuation IBMIGIM Area In So. Ft.
OP
9.
CIMN09 OF USE FROM
Main Floor Upper Floor•Oar.. Ara
Arm Arof Dee Flol•hal m•nl LENin. 9.am•nt
Stora.
TYPE O,cw ®AT. 0 AD'N. 0 NPL 0 SIVE.
T, or0 CLO. —*Sum 0 MEC.. 0 M.N. O 0004.
WDRN
DESCRIER WOR
& VALUATION SOU'C6
uTIMEE
R
0 OTHER
N0. Oaths ! No. t>I. I No. Room[ INp. •f Dw•Ilin.
CERTIFICATE 1r1 ANN. I 0.'d. r.
M EXEMPTION
[num, Dirt.
b.tIon (ANN
SEWER
Ow.rsolp
Public 01.w. 0
USE 0005
I hereby certify that I have read and examined this application and hove rood the "NOTICE" provision[ Included
On revert. Ode, and know the ams to be true and correct. All provolone 01 laws and nrdln•nces governing this
type of work will be complied with whether specified herein or not. The granting of a promo does not presume
to give authority to violate or cancel the provisions of any other state or local law guletinl construction or the
performance of construction, SEE REVERSE SIDE FOR REQUIRED INSPECTIO .
DATE OF APPLICATION ///a %//(SJ SIGNATURE CO- APPLICANT
SPECIAL APPROVALS
NAME DATE
01,. M•nr.0
SPECIAL CONDITIONS:
PEES COLLECTED
BIngI S
Building
Plumbing
Meeh.
Plan Cheek
Mobile Home
Other IMO cifv1
u3• •300
•300
•30032
*000 0
4454E
1..-04-80
' ep