1981, 10-05 Permit: 81A-6270 InspectINSPECTION RECORD
OW
"�E?CATION
CONTRACTOR
TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE
/
/d-641
REMARKS:
{AN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE, WASHINGTON 99260 / 1609) 46E3626
APPLICANT: COMPLETE N3MBE SPACES — PRESS HARD TO MAKE 3 COPIES
JOB AISORESS
- .4.6:42s5:214
LOr BLL/LIC ,U1SDIVISION
ADDRESS
LP\ .Koss,L,SLC:fe
\.\\,zsimcvs.
4' ADDRESS
-
5.
8.
DESIGNER
ADDRESS
CHANGE OF USE FROM
-1497
TYPE 0 NEW 0 ALT. 0 AO
7. OP
wo,rn OSLO. 0 PLLte. Arrescia.
850 A*4
B.
VALUATION
1.71‘617;Cl'ESI 505
0 OTHER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/6
Actuai SetBa s in Feet
Nortn 'South Emt IWemt -
Size of Parcel Zone Classification
Tyorf$2. Occupant,' Sprinkler..
Oyes 0No D sterVe.
Valuation Building Area in SO. FI.
Ma, F10111
Upper FlOPFS Garage Area
Aril& of Decks
No. Betns
Finished eal•1110111
LABIA Basement
N. Room. 1.0. *4DwegIngs
CERTIFICATE
of EXEMPTION
Eforns. Dist.
Location ;Areal
Recre.
ELECTR
WATER
SEWER
Ownership
014011c 0Pr0ate 0
USE CODE
I hereby certify that I have read and examined this a licatiiiri mid !Ia.+ 14,1 the "NO1 1 ,0,vis.15 oiclutied
API 'averse side, and know the same to be true and c 001, All prOvl,t)i, ,1,005 governing this
type of work will be coinplied With whether specified 1010 0' ii01. .11`.•,..11 1,0) 'Int prewnle
409100 authority to violate or cancel the provisions of any °filo, stab, or local 100 1,:gu ,,,,nuction 4,, the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DA", 111 APPLICATION SIGIVAlunt OF AC1,
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS;
Reed. rt
FEES COLLECTED
SI 91 9
Building
Plumbing
Mach.
Plan Check
SEPA
Mobile Hem
Other (Specify)
TOTAL
relOSIT NUMEER_ 6,740
0 0 • .1700
.1700 6
•17008
A *000 8
6269
06-24-81
6479