1981, 03-16 Permit: 81A-1380 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION: 6---'7/1Z--TV 1te,
SET BACKS
DATE REMARKS:
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PLAN NUMBER
APPLICATION/PERMIT 'PERMIT NUMBER . . .
-11
eI '
SPOKANE COUNTY—BUILDING CODES DEPARTMENT 7//4-/3W .
NORTH 01 I JEEFERSON/SPOKANE,WASHINGTON B92130/16001 4663(126
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APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES .
03.
ARCEL N
.44 .0 0
XLEGAL DESCRIPTION SEE ATTACHED 00
2. CEJLeisradd PlARERS 410464
.41.000
PHONE
' A .000 8
a 7rted-ee-1 .2t, #?i.....3_2.375-
ZiP A.c.rtuel Set Backs In Feet , 13792
its9751441t 1 F),4 ..--C 42,0-14-ii, 99 ze f? N nr. koutn i att lwett 02-11-81,
CoNTRACT fa ,.., PHONE Sim of Parcel 2ona Classification
'./g.'1-.3.....51.T. R 6479.
4. MI; • -A---- .4-..1.-'''-1 ZIP Type Con.. OccuPancy SPrinklered
J . i3.44—iRtist ..dp44.4.4A.J. 91FW Dv.a 0No OR.*,
DESIONER PHONE Valuation SuPding Arm In Sq.Ft.
. . ,.
5. ADORESS Z/P Ma.Fioor Upper Floor. Garage Area storage -
...OE OF USE FROM TO Area of Declo FInIsMAI Basement Unfin.BeMfliellt '
0 NEW 0 ALT. 0 AWN0 CPL. 0 MVE NO.Elat No.Stories 1 No.Rooms No.of Dwellings • .
• TVP. .
7. OF ,__, . OTHER •
WORN 0 ow. RI PLNie. 0 MECH. LIMN. LL POoL CERTIFICATE
of EXEMPTION I
SCRINE E COOE WORK Enum.DIP. Location(Aro*,
a '-', 0,(-/( ---(9-' .L,-.<.1-(4- ( 9 ,Y-20,44-14-,) FEES COLLECTED
V LUATION SOURCE GAS ELECTRIC WATER SEWER Ownersialp US
9. UTIEIFTIES Public 0 Private 0
Single $
0,e
I hereby certify that I have read and essimmed this apphootoin old hdso lood the"INUTICI"pi owsions included
OR reverse side,and know the same to he too,.irol cortect.All prpv pion;of laws dud o,,l,,,,,,e,governing this
Bildi .._._..
a typo of work will be conisOted with 01110 hi r 111,11100ecitied herem ot fon. the grantinflirt.,"vn
III ,!,Ines not presume ung
to give eutholity to violate or cancel the provisions of any whet state or local law regol,,h,construction or the 9 i i0
performance of construction.SEE REVERSE SIDE FOR REOUIRED INSPECTIONS Plumb', '-- ..‘'
DATE OF APPLICATION 2 ri_t-e/ . CIGNA I UHF Di AI`Pl ICANT A_CIILFIF,c.le.rti.:.e- ..." Mad,
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan COOS
/." ,4tCIEF.,,C.,SuCLife,' '
SEPA
Vanning — - or4417
a- t 7 fctle?-'ad'ai,b Mobil.Home
f Fa soon.
...
.1 ISpacifv)
/- s'-i:ai'- *00.,r
.
t—ones
/- ,(3,4.4,1„0..adei- TOTAL
I /- ' 164-11--10
''.6"-'"'-- y41InfeA=1EV4L.1.1MTED IN THIS SPACE.
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