1981, 01-09 Permit: 81A-228 InspectINSPECTION RECORD
OWNER tliKATION
CONTRACTOR TYPE OP WORK
NS E W
SET BACKS
FINAL INSPECTION:
DATE
REMARKS:
IPLANNUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE, WASHINGTON 99260 / 1609) 456.3676
APPLICANT: COMPLETE NUMBERED SPACES – PRESS HARD TO MAKE 3 COPIES
JOS ADDRESS
1? LOC" �'LOLR
2. OWNER
3. ,6M
ADDRESS
lE • ilSLl
CONTRACTOR
Am
4 ,.AADDRESS
DESIGNER
ADDRESS
Ct2c.4 4:
LEGAL DESCRIPTION - SEE ATTACHED
Fs AIGN
PHONE
gt43 v
PARCEL NUMBER/S
ZIP
5cAr441E4.4.p C1R.CI-C
PHONE
ZIP
PHONE
ZIP
Actual Set Backs In Feet North
South I aft Iwart
Slee of Parcel Eom CHMlllmtlon
Type Conn. OauPancy Sprinkler.
Dew 0No 0 Reed.
Valuation Building Arae In Sp. Ft.
Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM
f►
TO
Area of Decks
Finished Bafinent
Untln. Basement
TVP[
WARP, 0 ALT.
7. OF
WORK 0 BLD. 0 PLME.
D
ES
C
R
I
BEWORK
a Wa.py
1II &tIC
9. UTILITIES
600E ELECT
RIC
0 AD'N. 0 RPL. 0 MVE.
Erma.. 0 M.X. 0 POOL
0 OTHER
No. Baths 1 No. StarletNa. Rooms r . of Dwellings
Plot IVAN.
CERTIFICATE Rep'd.
of EXEMPTION
Enum. Dist.
Location (Area)
WATER
SEWER
Ownermlo
Public Private 0
USE CODE
I hereby certify that I have reed end examined this application and have read the "NOTICE" provisions included
on verse side, and know the same to be true
and correct. All pro of lawsand of din es governing this
type of work will be complied with whether specified herein o not.The provisions
o/ d 70',IIt does not presume
to give authority to violate or cancel the provisions of any other state or local law reguldIIHI construction or the
performance of construction. SEEqREVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION // UO U SIGNATURE OF APPLICANT
SPECIAL APPROVAL! SPECIAL CONDITIONS:
NAME DATE
677/06
c
FEES COLLECTED
S'ngl E
Building
Plumbing
Meeh. •tea
Plan Check
SEPA
Mobile Home
Other ISp9Hy)
TOTAL 4i2
_'F
M
PERMIT NUMBER
6)A -2Z.6
04• +17.00,
.1700 a
GZ7z
01-08-81
6479
V