1981, 02-03 Permit: 81A-1110 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N SE W FINAL INSPECTION:
SET BACKS
DATE
REMARKS:4'41.
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE. WASHINGTON 90000 / (600) 4550676
• PLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
A0 ADGRr.a
T •
LEGAL DEkCRIPTION - SEE ATTACHED
OWNER
3 /.4 O
ADDRESS
CONTRACTOR•)
•
ARCEL NUMB R
DESIGNER
6• ADORE.
CHANGE OF USE FROM
ZIP
ZiP
PHONE
ZIP
TO
TVR AN 0 ALT. 0 ADW.
7•
w ❑ 6L 0 PLS.
WORN MMECH.
0.
SOURCE
dT1841.s
0 RPL
❑ M.M.
NMI
O MVL
❑ POOL O OTHER
wATER
SEWER
Tv. Con It
zone CNWno Hn
Smimoome
0‘,6 lo 0 Roo,
voiumion
icor
doom FIOm.
6wIIn) Arm M SA. Ft.
Os ago Am.
NA Oat s
No. SIWM.
CERTIFICATE
M EXEMPTION
Enum. M.
No. Rooms
Own.Alp
Pu,Ilc OP,,..,. ❑
LNE CODE
I hereby cm lily that I have reed and 0Kamlleed this application an/ nave IeaU Ina "NOI N'I " Ilruvl,lons Included
on site, and Know the me 10 ba nue anti correct. All 10091110M nt laws antfund...dfa0uernlna this
type reverse so
11Work will ba compiled wllll whether sp*Citied herein t t he own. 01 d 1111111/t dye, not pltldml'
o ore outhumm,
Iolat I Col Cllr .P .0 +•, .cl,I�r� .,� ,np•
perform..perform..ofconstruction. SEE REVERSE SIDEFOR REQUIRED INSPECTIONS
DATE UI APPLICAlIl1N-
YECIAL APPROVALS
NAME DATE
O
SIGNAIUHL ':n ,11`I"..ICANI Y IL�I�Ch.9-F1'V
PION
YECIAL CONDITIONS:
FEES COLLECTED
Bingle E
Building
PIum0ing
/D
MRO.
Plan pick
SEM
Mobilo Ho,.
IxMr ISpc1N1
TOTAL
PERMIT NUMEER
00+ •1600
1600
+16008
A +000 8
11098
02-03-61
es AC R IRMA
WHEN MACHINE VALIDATED In, TIIIS SPACE.
1I