1981, 03-28 Permit: 81A-1610 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E
SET 'SACKS
` TYPE OP WORK
FINAL INSPECTION:
DATE REMARKS:
ER
JO&AODREE35
3
t. Lor .
NOME
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE. WASHINGTON 99260 / 16091 466-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
CI LT
LEGAVESCRIPTION — SEE ATTACHED
PARCEL NUMBERS
Ao-gC4S„1 SHVPGe
9.'IbW OleaC4 GT
CONTRACTOR
Sari WATEQ,. SE.euY�.
• DESIDNER
ADDRESS
A2Z 301,3
IP
Actual Set Backs In Foal
leptith I aft
North
PHONE
ZIP
`t6IZOZ
PHONE
Sim of Peron
TYRO Conal.
Valmtlen
ns CRNlllutron
sprinkNred
❑Ye. Dos 0 Rq'4.
I4I19in9 Arm In So. Ft.
ZIP
Main Floor
Unpin Floors Gaga Arm
CHANGE OF USE PROM •
♦ TyR 03 NEW ❑0 ALT. 0 AWN. 0 RPL ❑ MVE.
OP 0 OLD. ®PLME. 0 MECH. 0 M.M. ❑POOL
TO
Area of Decks
010110.2 easement
Unlln. Bawnml
%. 0 OTHER
•
DESCRIER wORlt
No. Baths I No. StorN.o, Rooms INe. of Drawings
CERTIFICATE
of EXEMPTION
hoard.
Recd. rot Rm•d.
[num. GIH.
Lora -don (Arra)
o Tl)N SDrYYV62
VALVA U) SOURCE
B. UTILITIES
l':Mmby certify that I have read and examined this application and have read the "NOTICE" provisions included
ao reverse side, and know the same to be true and correct. All urovislons of laws and ordelances governing this
type of'work•will be complied with whether specified herein or nod The granting of a permit does not presume
to give euthority to violets or cental the provisions of any other state or local law regulating construction or the
performance of constttGrlon. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
rDATE OF APPLICATION
OAS
ELECTRIC
WATER
SEWER
Ownership
Pu Ile ❑Alvate ❑
SICNATURE 01- APPLICAN I
DEE CODE
T Iar-MECIAL APPROVALS
NAM[ GATE
SPECIAL CONDITIONS:
y.sHet'-
ll3119ina
las
FEES COLLECTED
5'ngl S
Building
Plumbing
Mech.
Men Check
EEPA
Mobile Home
Other ISpaoify)
5.00
TOTAL S S 11!)
RMIT NUMBER
)12.1161."
SIA Volo
03« +500
*soo
05008
*ODD .8
1609E
02-18-83:„!