1981, 02-09 Permit: 81A-1165 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR tYPE OI WORK
N S E
SET BACKS
FINAL INSPECTION:
DATE
N NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON / SPOKANE, WASHINGTON 99250 / 15091 456-3005
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
J00 ADDRESS �l
W64.aVUN''�
z I
IS
a ADDRE
OWNE
SS
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NVMRER/S
PHONE
CONTRACTOR
(
ZIP
P ONE
Actbal Sat Babics in Ext
Nortn 1soa 17 `ad 10991
11..
S199 of Parcel hone aaumcauon
TVin
O97 •009
emendated
Ovo ado 0 Roo,.
ilk. RODEOS
PHONE
Valuation I Budding Aral In SO. Ft.
ZIP
Main Floor
Upper Floors 1 Owego Area
StoraW
CHANGE OF uSE PROM
H: t3
TO
Area of 1395ke
PlnMlld SM.meet
untie. Moment
TVP[.. 0NEW - 0 ALT. 0 ACM. 0 SIPS-
0
PL0 M.N.
o MVE 0 OTHER
❑ POOL
No
No. Sta1H No. Room. Igo. 0r Owe11109s
CERTIFICATE r RWb.
of EXEMPTION
Rec a. Slat Rp'0.
1([pJ(�[SCgle(�W(O-}RN P //']�+-T,�rO ry'
..':8 111160140(/Its'i{'uRCe GAS IS CT .<
'UTILITIES
Enum. 010.
LoaltIOf (Area)
WATER SEWER ownorcnip 0
Public O Prl.aN ❑
USE C00E
1 hereby certify that 1 have read end eaemined this application and have road the "NOTICE" provisions Included
bn rmerge side, and know the same to bet uand c act. All pinvlsions of laws and red...awes governing this
tt type of work will be Compiled with whetherspeclfied harem nr not. The granting 01 a 0elmit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION _Z-�-FZJ SIGNATURE ()r AYI'LICANT
SPECIAL APPROVALS
NAME OATS
°IOW. Nem
SPECIAL CONDITIONS:
wy/.�G.
/ AT/AM_.'G'-�'T'
/ 13/
/ )1t41A10_F} "
(A)P
FEES COLLECTED
Sinai. E
Building
Plumbing
M.oh.
Plan Check
SEPA
Mobil. Hans
Otho ISo9cifvl
TOTAL
03+ •21.
•21.00'.
•21.00tl -
•nOO B
11648
02-04-81 :0