1981, 09-10 Permit: 81A-9121 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NS E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
r
\ a.
PLAN NUMBER APPLICATION/PERMIT " � /
SPOKANE COUNTY—BUILDING CODES DEPARTMENT
NORTH B11 JEFFERSON/SPOKANE,WASHINGTON 99260/160911563675
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD 10 MAKE 3 Cl-'
Joe wooRe/ss�,'/(g,-"e2 LEGAL DESCRIPTION—SEE ATTACHED yt
ELOL IV �r /� PARCEL NUMBER'S tII o Iron `�'/� �/
2 OWNER PHONE 040 .41400 t
/�.rl a 1 400,rp
' a ADHD S' - ` :Ip Actual Set Baca,In Feel i
,S � Qq n
INK .at +1400
c0NTR��scIoy y ed PHONE R.of ParcN zone clnunc.lont FI
�• = ,,,,o,,,, Tr52 conn. oxop.ncr s.nxo 2O191
ADDI 7.79 /i. N('�i . / ave, orvi ar.9•a.
DESIGNER wtoE Valuation 131111d111.Area m S.Ft. 0 9'-i Qjp$1
In Floor Upper Floors Gaap Ama Storage 1 :64] !
•b• ADDRESS ZIP Ma 1 1'YRY,�
H1
CHANGE OF USE FROM TO Area of Cow.Cow. FInSnfl Beeman Untln.Basement Pew
8. a
N.Baths N.Maim N.Rooms IN.of Dwellings 9
TYPE 0 NEW 0 ACT, 0 AD'N. ❑RPL, 0 MNE, O OTHER ..
7. 0 0 el0 0 PLree. 0 MECH. 0 M, 0 POOL CERTIFICATE Ree'g. R.c a. �Ipt RW'A. Y r
RK H. of EXEMPTION
!DE9LRS / Enum,OM. Location lweal FEES COLLECTED
a / R iiGLI✓S%EE.P
VA OISOURCE f ELECT WATER
SEWEROwrHrMlp USE CODE _
aUTI1STI LS PubN ORI D Single S
F I hammy certify that I have read and examined this application and have read ilie"NO lil' s Psalm I
on mane side.and know the same to be true and correct.All provisions of Ian.,awl ii itn. ..g 9uading ,�lY
NM Of work will be complied with when,.specified herein or not.She gral y I I t t p
to plea authority to violate or cancel the provisions of any other state or local la,iepii. ni i rIstrtretion1
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing /' lit !'
_DATE OF APPLICATION 7— ? __SIGNATURE OF APPLICA Jl X.0‘...<1;‘,�[CJC Mech. Ti•"
,s'SCIS.APPROVALS SPECIAL CONDITIONS: A.
NAM[ DATE Plan Chad .:A 41 ti'tt
Env.Healla }f�..
` SEM 'XS .i.
eon Mobile Home i
q MMNsl.all
tlfO. in«)) r Other ISpxifrl
f WWI.
/ TOTAL S�y`4
e