1982, 05-04 Permit: 81A-9592 InspectINSPECTION RECORD
ADDFFSS
ptAH NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON 1 SPOKANE, WASHINGTON 99]50 / 15091 45e-3615
APPLICANT: COMPLETE NUMBERED SPACES — PRI SS HARD lr; NI;{E
JOEA
S
Lori �L0
� I /
a wcirlro L.
•EMI
id IS SJLEI-1St Quad.
COMRACTOR
mcUny BraFhaxs (prxirnclors
• ADDRESS
Nr 310(o Aruwtfl 12n2d
rise R/'ad
agE9a 7l
LEGAL DESCRIPTION - SEE ATTACHED
PARCELNNMBER/S-2__•25q-1 — 0e103 -
IP
3c(,
9aR-L{IoBG�
Actuw sat Bads Fe.
North
laYeat
sire of Parc.
Pone Classif Nation
t19,
Type Conn.
Occupancy
Sprinkler.
oyes ❑NP ❑ R .
D50IONER
5' ADDRESS
CHANGE OF USE FROM
a
PHONE
Valuation
Building Arm m SR. Ft.
ZIP
Main Floor
Upper Floors Garage Arm
Storage
TO
Arm o, 0011. I Plnl.n.d Basement
TVP.
J, OF
WORK
0 NEW 0 ALT. 0 AD'N. 0 RPL 0 MVe.
O m.o. 0 PLM.. 0 PARCH. 0 0.14. 0 POOL
qQ THER
No. Bat..
No, Storm
No. Room.
No. of Dwellings
CERTIFICATE
W EXEMPTION
Reo'o.
Roc e. Slot RAIN.
VION 0L
& Et
a 291n. no
500005
UTILITIES
.num, 01.1.
Lomelon WWI
OAS
ELCCTRIO I WATER
SEWER
W.I.OWnerahlp
0 Prim. 0
I hereby certify that I have mad and examined 11111 application and INN, Irnd Ili„ 'Nu t It'1
on reverse
side, and know rhe same to he nrmn ro
nue and corn Aor,r cmc i�l r. ,
type atwork will be complied with whether specified hereon ni noi. lnu cis/Ilii!/ f'li
to glue authority to violate or cancel the provisions 07 any ,film, •.Elle rel IswJF .
performance of construction. SEE REVERSE SIDE FOR RFDUIRED INSPECT IONS
i TE 00 APPLICATION __ __ /It:NATl1 RE t11 APPS l,,AN70,
IECIAL APMOVALS SPECIAL CONDITIONS:
NAME DATE
USE CODE
FEES COLLECTED
5. gl 1, 3g ()CI
Building
Plumbing
Mech.
PI Ch x
SEPA
Mobilo Home
Other (Specify)
TOTAL 5/.011151
02• •aat['o .
a BObr,`,LI
,�p
.a0
A
tr:
959.1
09-214
of