1982, 06-21 Permit: 81A-0168 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSEW
SET BACKS
TYPE OF WORK •
FINAL INSPECTION.
DATE REMARKS:
4ve, ot4f ,,:��(l sof 41,42. ��Zei
i
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 1311 JEFFERSON / SPOKANE. WASHINGTON 99750 / 15091 056.3675
APPLICANT: COMPLETE NUMBERED SPACES — PNFSS .I1 (tai
JOB
ARES!
"6.050,56, 131,61.LOT IMOLN aDIVUN
LEGAL DESCRIPTION — SEE ATTACHED
z
OW" w*s Jd4-r
4.
-715 ricAlso
W--170
mNorte
PARCEL NUMBER'S
Actual Set Ranee 1n raft
ISautn
eel
PHONE
SIS. 01 Parcel I Zone Classification
ADDRESS
LIP
Type Const.
OttuPancy Spr tklareo
Dees ❑ 0 0 Rea'.
k; ,,DESIGNER ,
PHONE
Valuation I Building Are. In SR. Ft.
IIP
Main Floor I UPP.r Floors Garage Area
storaw
4.
CHANGE OP USE PROM �50
Aro. of Decio
Finished Basement
untin. Basement
fYes�.: Tv 1124W 0 ALT. ❑/qp'n. 0 RPL/AV
0 s.
OF ❑ eLO. 0 PLM.. 'Dios.,❑ M.H. 0 POOL LI OTHER
WORN
No. Bator
No. Sloan.
No. Rooms
No. of Dwane.
CERTIFICATE
of EXEMPTION
OESC OE Wct�ORb"
a 5i S/d
Enum. Dist. I Location IA,eel
VALUATION
UTILITIES
ELECTRIC I WATER I SEWER
0000 0 0 Private ❑
I hereby certify that I have read and examined this application and have lea/) lh "NOi
,On reyars9 side, and know the same t0 be true
and cnrrect_ All pioris,00s of Inv. inn! •
0*0o Of Work will he complied with whetheisuecified herein oi no, The q.an1 I
10 give euthority to violate or cancel the pi ovisions of any oth,i .tae
performance nl construction. SEE REVERSE SIDE FOR REQUIRED INSPEC INS
DATE OF APPLICATION �.J V LJ p t _.. S)/.Nn l urtt t �I t i n.
OFICIAL APPROVALS
NAME DATE
E
tillnes
Mt nem a
CIAL CONDITIONS:
4-tok• 44.4A944
USE CODE
FEES COLLECTED
5 BI S
Building
Plumbing
Mech.
Plan Cele.
BEP.
Mabee Nome
Other (Specify)
TOTAL S (J
04. o•1.40p
.01
1673
0-02�!!'
3 44:704.:4