1981, 09-03 Permit: 81A-8863 Inspectt
INSPECTION RECORD
OWNER LOCATI
CONTRACTOR TYPE OF WORK
NSE W
SET SACKS
FINAL INSPECTION:
DATE
REM RIM:
.0.14.1.1••••m/44.11.4.
EE
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 1509) 456.3676
APPLICANT COMPLFTE NUMBER' ^ SPACCS P11, S
JOE ADDRESS
.111:K) �.
fUBDIVISION
2
SLy1
LEGAL DESCRIPTION — SEE ATTACHED
ARCEL NUMBER
OWNS Wa.9�w-�..�c
3.
ADDRESS
4. ADDRESS
<oNTR CTOR
1 D 5
PHONE
ZIP
Aciwi Set tfScks ,n Feel
�2is �Zi
z
Zona Classlnutllo
ZIP
9g�.oCP
Type <ono
Occupancy
Dyes DookN0 Aao•d
DESIGNER
6' ADORE
PHONE
Valuation Bunging1 Area In Sp. Ft.
IP
Main Fioo
GairaIllt Area
Io
CHANGE OF USE FRO
TO
ol
nlshod Basement
Unlet. Base oat
n
)• OP0 NEW 0 ALT.. /KbCAD'N. D RPL O MVC,
WORK 0 [LD. 0 ALMS. ,M1CH. 0 M.N. 0 POOL
OI[CRI[IWORk f
a VALLA
t0u C[ Oq (II yJ[ [CTR' WA
UTICALES� 1
0 OTHER
No. Baths
No. Stories No. Roams
o. of DwH11ng5
CERTIFICATE Rao'd. 1 Ra'd,
of EXEMPTION
rol RNV.
num. Diet. 'Location (Areal
,.Y
Owner.MP
Pue11c O Prlate ❑
USE CODE
I herby cattily that I have rued and Sema!, nal Ilr i� rinn II :lnnll „�.1 ,.,n., I.
On reverse Side, and know the tame to bi• 1 �� ml r 1. A.,
type of work will be complied with Moth, nieciliell lwren] I I
to give authority to v olate ni cancel the Hi inn pm, 01 in, olio+r
Derforn(ance of 701197020tlnn. SEE REVERSE SIOF FOR REOUIRF.O INSPECTIONS, --E �., .�•�,
_ S11:Nn I11RE1 �PII1+n L/O>�Lut�CJCJi"�`�'u—"-P
DATE OF APPLICATION LI ` O
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME OATS
ETES COLLECTED
5 gl
Building
Plumbing `1
Plan Check
SEPA
Mobile Home
Other (Specify) /j ((f
TOTAL $ H O O