1981, 12-10 Permit: 81B-2441 Inspect*DRESS
DATE
REMARKS
c 4
INSPECTION RECORD
1
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH St1 JEFFERSON / SPOKANE. WASHINGTON .9260 ISM 466,16TS
APPLICANT: COMPLETE NU
.1013 ADDRESS
I. 8. 13217 Tall Tree
LO BLOLN SUBDIVISION
§Vil"Coombs
3.
g?'15n7 Tall Tree
ERE 'SPACES — PRESS HARD TO MAKE 3 COPIES
924-3084
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL LVIBER/S
19216
Actual SM Backs In Fasit
1Soutt,
•st
rort. Weer Service Co.
Sia• of Parcat 20. Ciassil !cation
trn'Third Ave.
99202
s000ttotto
Doo ID Rep,.
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
BultdIn0 Arta In So. Ft.
SIP
Main Fie. { llootn Flacon Gma.• Arm StmaO•
▪ 0 NEW CI ALT.
7. Of
woo, 0 BLO. Putte.
ITO
0 MECH.
Ar. Dat.
Finish. Baser..
Unlin. Baseman(
0001. 0000.
0 M.H. 0 POOL
OTHER
ilNo. Elattn 1 No. Slot. No. Room,
CERTIFICATE
of EXEMPTION
Reed. rot Rect'a.
D ESCRIBE WORK
8. Water Softner
Location IA.A11
VALUATION
GAS
ELECTRIC
Ownmsilio
...lc 00o*.. 0
I hereby certify that I have read and examined this application and have read the 'NOTICEprovisions included
on reverse side. and know the same to be true and correct. All provisions of law and OrdinanCes governing this
type of war* will be complied with whether specified herein or not. The grantin of a perrnit does not presume
to give authority to yioiate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTION
DATE OF APPLICATION
SIGNATURE OF APPLICANT
SAFCIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
FEES COLL FETE°
S.NiM
Building
Numbing
Mech.
Plan Cheek
SEPA
Noel Hom
00.0 (Sovelyi
5.00
TOTAL s 5.00
PERMIT NUMBER
A4-4- I
.507
•f.C.0
•5002!
20467
12-00-01
0 8579.
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS PFCONIES R