1981, 12-15 Permit: G81B-2232 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS:
1
AN NUMSER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH e11 JEFFERSON / SPOKANE, WASHINGTON 99260 / 16091 45E3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
2.
�K/6UNSP.j
eL D ill
/9 -5 -
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
a WOR01Rv((//S L, 574 -vs
X. /3?// Sr Ao
CONTRACTOR
4-1` -7 47./ 4,7 frItp i F/.o
ADDRESS
e 7/0 o/«,....
PHONE—reV
CEL NUMB
ZIP
Action EM
9 9 x/
PHONE Sloe or PerNl
7,1 fr -P/rd
n WUI
Zone cleomvuIon
297.i/Co•
0.00(0.
1
Does opo ler.
a.o,.
DESIGNER
PHONE V.Iratlon
Building Area In Sae Ft.
ADDRESS
ZIP Main Floor
Upper Floors 1 Garage
WANGS OP USE FRO
a
TO
Area of boom
RI MI easement
'' TV. 0 NEW 0 ALT. 0 AO'N. 0 ROL 0 SIVE. or
OTM[R
WORK 0 BLD. 0 PLM.. 0 MECH. 0 M.N. 0 POOL
o. Bat
O. Stories
No of Dwill es
CERTIFICATE
of EXEMPTION
rPI
OEECRIBE wo RK
b.-54 /1' F •e.4
!./ 00 HPL.
VALUATION s OAS, ELECTRIC WATER SEWER
9. UTIETIES
num. Dirt. Lace or, (Area(
lPu Icer°Private 0
USE CODE
I hereby certify 111.11 I have read end e0.nl11ned (1,79 application and have read the "NOTICE" provisions 0010,17,1
on reverse side, and snow Ina same to be hoe and cocecl. All in °vision of laws and ordinances governing this
type of work will to complied with whether specified herein oi 1101. The granting of a permit does not presume
to giro authority to violate or cancel the inovisions u1 any other stale or local law regulating construction or die
performance of construction. SEE REVERSE SIOE FOR REQUIRED INSPECTIONS
DATE OF APPLlcori1,Ni./2" . SILNAillnl: 1r APPLICANT
SPECIAL NAMEAPPROVALS DATE
En.. HyItF
SPECIAL CONOITIONS. (/
FEES COLLECTED
S' 1
Building
Plumbing
Moth U• d0
A 4'•- c
Pt.n Cf1.ck
SEPA
Mobile Noma _.—
Other lOp.o 0)
TOTAL 1 (Y• •"�/
04. .14001
.14.0
0
1400
2 .:Q00
22310
I 1 -30-8.1;.:
6479. :..0