1981, 04-17 Permit: 81A-3195 Inspect( INSPECTION RECORD
ADDRESS
DATE REMARKS
2;,T)�
PLAN NUMBER
1;
LAN
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99260 / 1609)466.0616
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
�1ltEISY
l I ll 9 8.8.(e MmuL Es res Is.
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/s
09552- miS
OWNER
a ? D6 AAtr<LPK4
ADDRESS
E.. WIL MoNTGombcd
CONTRACTOR
NO1k•ME9N SsA IEEMEO d C01uhNUCTioN
4.. ADDRESS
PHONE
`'RS'6103
ZIP
L1a1gL
<n,a $1 eaklmnm 1D0' list 42t L.
PHONE
1338 -S0114
Sim Parcei 12S
:0116 CRMlncation
Res. Masai. i.4AOtE
ZIP
Tv-
Sprinklerae
Ova: Oran ❑ Rains.
DESIGNER
6' ADDRESS
PHONE
VTZ 4-a^
Building Area In So. FL
400
ZIP
Main Floor
Upper
flows Garage Area
4.00
Storage
CHANGE OF USE FROM
6
TVP6
7• OP
WORK
TO
r'1 00ecks FlTIBrq Bas.mant I Unnn, Baseman!
HEW 0 ALT. 0 AO'N. 0 RPL 0 MVE.
BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths No. Storl.s
CERTIFICATE
of EXEMPTION
No Rooms
oom R.�Ndo. 01 Ow.0ing,
np,s.otpF1 e C
DESCRIBE WORK
6 �9Vg �AAA(�......, 0VRCE
141/3 e
OAS ,ELECTRIC
Eno, Dist.
Location (Arm)
WATER
-YLI .
OwOOHolP
Public 0110VH.9
USE COOL
I hereby certify lila! I have read and examined this application and (laveread the "ND ,11.1 0 ,. „chided
eside, and know the s u
o be I and c al l,
correct. All ulovisinns of laws an,,,uances governing this
typeolr work will be complied with whether specified herein 0r out. rhe granting nl a onio, noos not possums
to Eive authority to violate or cancel the provisions of any other state 01 local law ,egulnui,g , o,unuchon nr the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS •
DATE OF APPLICATION
SIGNATURE 00 API`) ICAN I .41-44;;Z:
NECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
xc 41401
FEES COLLECTED
5'BI $ '
Building - • B.00
Plumbing
Plm Cheek
---
SERA
Mobil. Home
Other lSpecilvl
TOTAL $ i3•00
PERMIT BER
SIR—NctS
00• •380,
•3800 0
•38008
•000 8
31902
04-07-8.1
642.9.