1981, 01-16 Permit: 80B-4904 InspectOWNER
INSPECTION RECORD
`CATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
/ -I b41 _ l:r., 944, .1:_ 4p17c 41-
-��
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 00260 / 1509)4565575
APPLICANT: COMPLETE NUMBERED SPACES — PRESS IIARD TO MAKE 3 COPIES
w woD1LECk ss'��%leK/ NO'S nL
2.
OWNER
*DORMrR.I6�/y I A'..te✓
FJaWrP/
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMRER/S
ea
ZIP
c u.l Set eater In FM II
North (South Sia Lost
"MTh,4.
sr Tiws✓ idea a deo(
F rx A )64
PHONE
77(SX19
Size of P.r..l 12on. Classification
DESIGNER
6- ADDRESS
?q eco/
PHONE
Troe conn.
Oaueancr
swMklew
Ores One ❑ Rep'd.
Valuation 11204)0. Area In Sp. Ft.
ZIP
Hein Floor
Uooer Floors Gerags Area
CHANGE OP OR 6500
!T0,ter^S
✓ Trti ❑ NEW 0 ALT. ❑ AWN.6RPL. 0
MOS.
i. 0 OTHER
wGRN 0 E.0. MtuM.
CI PL.. ccH. 0 H. 0 POOL
Area of D.00.
Finished Basement
No. Saha ! No. Stolea I No. Room. INo. of Dwellings
J
Recd. 101 R0'd.
CERTIFICATE
of EXEMPTION
& DSCR/wu ear r.eduac M'thee if o
,'
GAS ELECTRICWATER SEWER
9, uT)uIS ie
[num, DNS.
Location (Areal
Ownership
Puede 00)0.). ❑
USE 0001
I hereby certify that I have read and eoantined This application and have read the "NM ICE" provisions included
on reverse side, and know the same to be true and Correct. All provisions of laws and ordinances governing this
type of work Will be complied with whether specified herein r,i not. The granting 01 .1 1,•InIl1 does not presume
to give authority to violate or cancel the provGions of any other state or local law reguldt,lrg construction or the
p.rfpm.nce of oautruction. SEE REVERSE SIDE FOR REOUIR ED INSPECTIONS
DATE OF APPLICATION /41-•// • e SIUNATURE OF APPLICANj '..� '/
OICIAL APPROVALS
E.,,_.Head�t NAME °ATI
OFICIAL CONDITIONS:
[wFR.N1. IoLRlowo.BINS `?.PING(
FEESCOLLECTEO
Sinal.
Building
Plumbing
Mech. 12.06
Plan Check
SIM
Mobil. Name
Other (SPMI1y1
eine
TOTAL S T
PERMIT NUMS[R
49oES-4904
04*
A
49039
12-16-80
6479.
01200
.1200 E
•120011
•000 B
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