1981, 07-16 Permit: 81A-7030 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E
SET SACKS
TYPE OP WORK
FINAL INSPECTION:
DATE REMARKS:
PLANNUMBER
4-S
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, ASHINGTON 99260 / 1509) 456.9675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOBADDRESS
1 7OEr AL G✓//P/
LUT BLOCK SUBDIVISI
2.
a
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBERS
OWNER
ADDRESS
CONTRAC —
Tull K.t / /ed
4• ADDRESS /
DESIGNER
ADDRESS
PHONE
5.
ZIP
Actual Sat Backs pFeet I .
fi
!Wart
PHONE
raaV
Sire of Parcel Zone ClassilIcation
ZIP
49.10/
("coupon.
Sorin
Over ONokiered OR
PHONE
Valuation Building Area In SR. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Arse of Decks
Finished Basement
Unlln. B.Nment
TYPE 0 NEW .t] ACT. 0 ADEN. 0 RPL 0 MVE.
i WORK 0 BLD. 0 PLMB. 85.MECH. 0 M.H. 0 POOL
OF
0 OTHER
NO. Baths f No. Stories I No. Rooms
CERTIFICATE Roo..
of EXEMPTION
No. of Dwaine.
nee d. got Raced.
8.
B.
-1r /2.-,,.,4✓I0 .Ll;/R
VALUATION SOURCE ELECTRIC waTER 9W0*
UTI
Location (Area)
Ow north lo
0111/111 ❑ 016.1.
USE CODE
1 hmo115 cel lily that I have load and examined this application and haul ,eadl the "NO-rd.:L'pi t included
on reverse tide, and know the same to be true and c 1. /ill woo R ion, cal laws ;nd . ,, esgoverning this
type of work will be complied with whether specified hole;,, uId, 1 ha 1,c ant at 01 a paiind does not presume
to give authority to violate or cancel the pi wislons of any other slate 0, 100a0 lawle-,pH ,1,oy cuoslruction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS////J /�/ /
DATE OF 'APPLICATION 7—Z9—Jl SIGNATURE or AP,,1.11;ANr 1J L'/ 04461
l I
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME OATS
Snr 01101
IIIIIdt
ins Examiner
FEES COLLECTED
SlnpN $
Building
Plumbing
Plan Check
BEPA
Mobil. Home
056.0 (Specify)
TOTAL E
04} •1400
•1400 C
• 1 4002E
A •000 8
70290
07-15-811
o 6479