1981, 06-09 Permit: 81A-5365 InspectADDRESS
DATE
INSPECTION RECORD
RENIAR S
LOT
2. l
OWNER
DAtita D. @Ats4
ADDRESS
MID 12.C.E1
^yr -m M [ non/ r=nm11
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH B11 JEFFERSON / SPOKANE, WASHINGTON 99260 / MORI 066]676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS BARD TO MAKE 7 COPIES
S. -Ma ten
SUBDIVISION
9Uit5 _Jobbu5onis Aoor+la,7 Te 58
PHONE
Rv4-25A
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NBER/! b3541-ZAo7 {21{p(
T¢GA9TuxnD eT2.4.4.1p2 OS
ZryI P�
412 L
Nor.
.t RacksIsout 610'
CONTRACTOR
—4Ar4crC. COMS/r10115
4' ADORES!
SDK tI I `hfLMANrEE.. ST,
PHONE
5z447,(2#
Site of Parcei Classification
/Or 25C, AG R GAL1UeRL
ZIP
4AZEI
Type none
OccuPence
ti
DI$ ONIR
6' ADDRESS
PHONE
ZIP
ya .in Ffoores
Upper Floor.
Building Area In Sc. Ft.
l2a0
raa.
12Slom
CHANGE OF USE PROM
Q
Area of Dec.
Untin. Basement
TYPE WINEW D ALT. 0 AWN. 0 RPL 0 MVE.
• OP RN MFI ILD. Y L. Kms. 0 ma.. 0 M.H. 0 POOL
WO
Ira V/ORR
& JTO1"Ar
VALUATION,
9.1112te
SOURCE
UTILLIITIES
0 OTHER
No. Stories
No. Roorna IND. of 06,01 9s
CERTIFICATE
of EXEMPTION
Reed. rptj.pa.
Loc.tlnn IA1..1
awLDtRua S
OAS
ECTRIC WATER SEWER
SEPT
USE CODE
I hereby oertity that I have read and examined this application end have read Me NI) 1 n
reverseon s de and know the same to be true and t pl
All ow s u n of I
type ofwork will be complied with whether specified herein not . The grail 1 , ,.. 011
to give authul ty to violate or cancel the provisions of any 010. sla e o 1010.11 law
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SPECIAL ECIAL APPROVALS PCIALCON
DTONS:
DARL , .ff.DATEOEAPPLCARIOSIGN
As
ATURE 01- API IDANT
FEES COLLECTED
S 91 $
11.
Plumbing
Met,
Plan Check
SEP*
Mob Ie Ho e
Oth I Spar lyI
TOTAL sf8.0
•n€00
hn 0101
.n^0 ..
0.6-01.-b1
0.079
f/f