1981, 10-20 Permit: 81B-0058 InspectINSPECTION RECORD
ER LOCATION
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
R7IIARK
.7I
[LAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99280 / 15091 l58.3815
APPLICANT: COMPLETE NUMBERED SPACES
JOB ADDRESS`t�``
e*RSsLB SLr}
lAI BLOC DIV1510 Ag7DGtA)1S)
• OWNER
a HeAIIC.
ADDRESS
• 024
CONTRACTOR
4. ADDRESS
Off06E
OESIONER
• ADDRSS5
Fizscse
xar�icxXA:N
rY CHANGE OP USE FROM
TYK 0(NEw O ALT. ❑0 AO'N. ' 6 RPL 0 AVE.
T' WORN 0 BLD. 0 PLMB. 87 MECH. H. 0 POOL 0 OTHER
DEBCRISF WORK
ALUATI'O$$1N..I,5ROUHICE GAS`v ELECTRIC WATER
9a 'UTILTIEB
LEGAL DESCRIPTION - SEE ATTACHED
\j.
NF
6‘0%-wK..
PHONE
ZIP
PHONE
ZIP
SEWER
PARCEL NUMBER/5
tuel Set timet in Fee
15PPtn ` Emt Iw.K
e or 6.rc.1 zon. CNNlncetmn
s
0Y.. 01.F10 R.314.
Valuation Sunolne Are. In so. PI,
161.11 Floor I UPP.r Floor. Garage Ar.. I 5tore9e
Area of Peck. j Flnl.n.n BF9em. 1 I (MM. 6.Mm.nt
No. Bales I No. StorNt No. Rooms INo. of awellln9.
CERTIFICATE
01 EXEMPTION
Laeid. I Re, . riot Rp'C.
Erwin. Dist. !Location (Arm)
Ownership
Public 0 Prim. ❑
05E 0005
1 hereby eerllly that 1 have 0',,,1 ,Ind ,Lirmnecl ibix nl l I l ,� •
on teversa
fide, and know the ,1111t1 lu III` 1100
111/ , 0IIt lei uvi�i
type of w0,k will be c „ 0/191, w i.tl,er.oerllii•rl In rc:ii
to give authority 10 viola i, „ ance1 the any n
pnriolrnance of /01411ucti1,, SE EVEIIE SIDE FOR RE0111R1 D 19400/ 1, 11r
DATE OF APPLICAIIO .,/ t .ill _.. 011.N01i
RSCIAL APPROVALS f SP CIAL CONDITIONS/
NAME DATE
Fr+`IL.Ith
FEES COLLECTED
5rpl E
Building
Plumbing 1gr
Meeh. "
Men Cheek
BEPA
Mobile Home
:7
04e .1700
* 17.00 .K
•17.002V
•000 '8,
57,
09-30-
4. 6479