1981, 02-09 Permit: 81A-917 InspectINSPECTION RECORD
OWNER
LOCATIOPI
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
2- / ,
TT
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811JEFFERSON / SPOKANE, WASHINGTON 9.260 / 150514569675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
L w.sJ
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUM0ER/S
9zij-q/
ed, /o9ariiJ.✓...1..fs rRa 7/ua.de.Pi
NT AROR
• 2xS' 3.Ad Q.rFI x�fT�n ei<
DESIGNER
6' APPRISE
ZIP 903 7
Actual In Feat
North Sal 5eck'South IEest
Last
ONE
Slot or Parcel I Zone CNNIIImtIon
99242
Tubs Const.
03.7(0507nkm
n e
Dew 0o 0 Rm•e.
PHONE
Valuation IEUIWIne Arm In So. Ft.
SIP
.0(4ANEE OF USE FROM
TO
Mein Floor upper Floors Oenm Arm 7I
Area of Owes FInIMm mmmt Uniln. Mmment
TYPO
L OF
WORK
0 New 0 ALT. 0 AWN. 0 RPL
,y ❑MVI. 0 OTHER
ELMq
0 ELPLMU. 0 MECH. 0 M.H. 0 POOL
etes I No. MylesI Na. Room. INo. 07 Ovnllloee
IJI Req'e. 1 Roc e. Fie, Rm'e.
CERTIFICATE
of EXEMPTION
• .W'IyeX t�7
N SOURCe 1 OAE
E, UTILITIES
Mum. Dlse
1-oratlo5 (Areal
ELECTRIC
WATER
SEWER
OwnerMie
Public 0 Pnretc 0
PEE 900E
1 hereby certify that I have reed and examined this application and have read the "NOTICE" provisions included
on Mena Side, end know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or 001. fhe granting of a permit 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
gra
DAZE OF APPLICATION /-� 7 -
SPECIAL CONDITIONS:
11CIAL APPROVALS
NAME PATE
Env, M.Hh
SIGNATURE OF AI'PLICAN
• Marshall
TIM
Eng r
FEESCOLLECTED
Single S
Building
14
Plumbing
Mech.
P00 Check
SIPA
Mobile Home
Other (85.047)
TOTAL E L.5-142-
1
e
03• *50
*50'0 6
•500tl
A •000; 8
91.62
01-27-81
2 6479.
04,40