1981, 01-26 Permit: 80B-4196 InspectINSPECTION RECORD
OWNER DATION
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
f-2G•a/
REMARKS:
sairrirLavo41 MM, r-crum
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE. WASHINGTON 98260 / 066-3876
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
4.171 A007E55 ,71.4 z7z,er
Cr
BLOCK ISAIVISION
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
a OWNE(I .80,41.5
ADDRESS
t21161?y P r
A• rTiG7;75•ON 57Iv VI 4$4.etn't
E col
1:92i6
Actual Set Backs In Feet
North 'South
471-iff‘o
ZIP
Sly, of Parcel Z*(,.
Type Const.
Occupance Sprinkler.
Oyes 0No 0 Rerra.
6.
DESIGNER
Valuation
100110(09 Area In Sp. Ft.
ADDRESS
ZIP
Malo Floor
Ileum' Floors 1 (Wage {Area
CHANGE OF USE FROM
a
TO
Area of Decks
Finish. Basement
Untln. Basement
7.
TVP. 0 NEW 0 ALT. 0 ACM. 0 RP,
OF
WORK 0 �L*. 0 puos. linnEcH. 0 M.H.
0 MVE.
0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Not Rep,.
• CARTE WORK
• $42Le..2 ANT A t eL 1-14ow.er ThyrZt 17.omf4P,
VALUATION sOURCE ›A‹. ELECTRIC W000 SEWER
9. LITIEIFTIES
Enum. Diat.
Ownerahip
Location (Areal
Public 0 Private 0
USE CODE
I Ilerdby 001 lily Ihal I him, read awl examined thr, opplicatrorl drrti LIrdrtr road the 100110 ' prorrr,Lorrs inclorldri
• tekroosef side, and know the satrkr 10 be 1100 d1111 ccdroct. All pimp..., Idws drkl rrirldrdrir goV0/111119 thiS
typo of work will 0*complifrd with whertimi mrdelliirrl her o... ol do. LI he want,. 01 L..,..rr....
*0 give authority to violate ol tint luouol rilly othrri yldle 1.1w relprld.HrLi nfV.IllJE11011 01 11111
pr.rfomiance of construction. SEE REVERSE 5100 1011 REQUIRED ii,ISEECTIONS
DAT., 111- 0001.1E0111. , ,11;IV/S 11011 0100111'4011 4(tte4.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. lisainn
Inlannloe
. Engineer
instdaminer
FEES COLLECTED
Si gle
Building
Plumbing
JIMech.
Plan Check
SEPA
Mobile lionur
Other ISPeclWl
TOTAL
SOB- /ft.
05* 011.0
011.0
*11.006
11 *000
41952
11-25-80
2 6479.