1981, 06-01 Permit: 81A-5062 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
APPLICATION/PERMITEMITS
SPOKANE COUNTY—BUILDING CODES DEPARTMENT
M IPgI/E 5o�2
NORTH ell JEFFERSON/SPOKANE,WASHINGTON 90260/MOO)46.1176
Jy'/
APPLICANT' COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
oe ADDR
X33 3 7 TO LEGAL DESCRIPTION—SEE ATTACHED
NUMBER/5 <,
2PARCELOU+ •1200
GWN.
a `., 6 fZ�sl,rhi + ID,..4 07 •1 zoo a
1 I •17.00 •
CONTRACTp�p3l� 0 ' SI[.or'Pa•.Bac ISeuORR Earl Iwe A •000�—`E—'/111 PHONE en.cL..In..nRn`t 50619
4. ADDRES • ZIP Type Comb Oeeumnev 2 Sprinkler. 05-26-81
DESIDNtq One, ❑No 0 R.
PHONE Valuation Iron , s 6479.
•
i E. ADDRESS ZIP Malo Floor I Upper Floor. Gamin Area lI Storage
CHANGE OF USE FROM r Area Of DesnaD.
No.Bat
TYPE ®rgEW ❑ALT. 0 'H ❑RPL 0 WIVE.
7..
N I.Stories No.go
Finished
Basement Im Un/In.Basement7. of 0 OTHER �r+e.o Dwnling.
WOgq 0 BLO, 0 PLMB. tCN. 0 M.M. ❑POOL CERTIFICATE flee'p. I gec�a. rot Reo'e.
DB��1 Oqq of EXEMPTION 11
B N w ��/.! Enum.Ont. 1"-".^1Areal
t/V L/ FEES COLLECTED
VA TION aOURCE GAS I ELECTRIC I WATER I lqE CODE
tlIP
A IUTILITIESI w 6EwER ownlg a0 Prlral.O I
Nock _
I hereby certify that I have read and examined this application and have Iced the"NOTICL"lnovisions included
on reverse side,end know the sense to be true and correct.All provisions of laws diol 01111114111(..110151 ing Iltit
type of work will be complied with whether specified herein or not.'the Branling Ul d umnlll ldoes not present,' Building
to give authority to violate or cancel tile h.
1 provisions of any other slew le Sl local law imgll,il�i til�.,,n�Iduc�li/n/n//a)Ih••
psrlormarlcs of oonstructlon.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS �`^^R/ -Plumbing
r•DAT!OP APPLICATION S—+�6 SIGNATURE OF APPLICANT.GiII•/ M.cn.
SPECIAL APPROVALS SPECIAL CONDITIONS;
NAME DATE ..e.,,,:rg f,Ark4 o ........,a..
Plan CM,
Sc..Health
-iLnning ///,�� a Seen
Marlaall / Mobile Noma
Z Engineer ( ��
Other lSpecilyl
.m En.mine, TOTAL E I i' •.
i