1981, 09-16 Permit: 81A-5603 InspectINSPECTION RECORD
OWNER - L@CATION
CONTRACTOR
NS E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS
PLAN NUMBER
JOS ADDRESS
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 69260 / 150614669076
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
S. 1523 Mica Park Drive }1
LEGAL DESCRIPTION - SEE ATTACHED
LOf
ELOLK
SUBDIVISION
2.
3 OWNER Karen L. Hunter
ADDRESS .Sale
PARCEL. NUMBER/S
1/.6798
219206
Actual Sot Backs In Fut 11
keel. IE.R Last
CONTRACSTOOPR
t WaiEISON100 co
4' ADORES
. 25Third Avenue
PHONE
455-8050
SI.. of Parcel 12.0.0103111691100Zone
2V9202
Tru Const.
ON:umnev Spr nklerea
Ove. ❑No ❑Rated.
DESIGNER
6' ADORE'S
CHANGE OF OSIEROM
PHONE
Valuation 1Eu1Nlo. Arm In S0. Ft.
SIP
Main Floor
Upper Floor.G.r.w Arm
Stomm
TO
Aru of Decks
PIn1.h.4 Eammmi
upon. e.mmeni
7. TYIK El NEW 0 ALT. 0 AWN. 0 RPL. 0 MVE. O OTHER
OF
WORK 0 BLD. la ALMS. ❑ MECH. 0 M.H. 0 POOL
No. Oat. I No, MalesI NP. Rooms r. of DW.Illn..
L Rm.. Slot ARM.
CERTIFICATE
f EXEMPTION
9 'a.
DESCgIEE WORK Water Softener
9.
loom, DMB,
Location IAtm)
VALUATION SOURCE
9. Ur TIES
OAS
ELECTRIC ( WATER
SEWER
Ownership
Punt, a PH..t. 0
USE COOS
I hereby certify that I have read and examined this application and have read the "NOT ICE" provisions included
reverseon side, and know the same to be Due and correct All pr ovisirins of laws and .ndinaiices governing this
type ofwork will be complied with whether specified herein oi not. Th. grant01/ of a permit does not presume
give authority to violate or cancel the provisions of any other stoic
or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 6/8/81 SIGNATURE 09 AI'PLICANI
SPECIAL APPROVALS
NAME DATE
'rennin'
SPECIAL CONDITIONS:
FEES COLLECTED
Single B
Beading
Plumbing
Mach.
Plan Chock
BEPA
Mobilo Homo
Other ISPadfyl
TOTAL $ 5.00
036 •500•
....500 .8t
•500It
A .ado
56028
06-08-8+1
S 6479.
, .160001—
_NNNEN MACHINE 1/ALIDAT
D IN THIS SPACE,