1981, 08-12 Permit: P81A-8045 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK
W FINAL INSPECTION:
DATE REMARKS:
N NUMRER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH BttJEFFERSON / SPOKANE, WASHINGTON 99200 / 15091 4504605
APPLICANT: COMPLETE NUMBERED SPACES — PRESS IIARO TO MAKE 3 COPIES
.1013 ADDRESS
4..1404 1DDR
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOLK
SUBLOVIMUN
2.
OWNER
a AR.IwQ F. 41LL.P9
ADDRESS
t. 7404 IDT"
CONTRACTOR
bop'WIRER.SvUIOL
/. ADDRESS
t . ?5
3p'D
PARCEL NUMBERS
aZHPHONE
alSOfi
ZIP
aa2Cc
PHONE
ZIP
i1R2M
DESIGNER
B' ADDRESS
PHONE
ZIP
NortorlSet Parcn Omits
cklsouth EatSize Zone ClnRrlra Ilonft
Type const. OauPancy ❑Y., ono aim
Valuation BuildIng Area in 5e. Ft.
Main Fluor UPen F10011 Garage Area Storage
CNANOE OF USE FROM
TO
Area of back.
FInIMad 13.9.0.112
Untln. Basement
TYPE !INEW
7. WF
ORN BLO.
08109)IRIEE WORN
a OALUATIq)d(N) 30‘61URCE
B. UTI VTIEB
Cl ALT. AD'N. 0 RPL
❑ MVE.
id
PLM.. 0 MECH. 0 M.0. I7 POOL OTHER
No. Bath.
No. 00,199 No. Room.
II
I
CERTIFICATE Rued.of EXEMPTION
No. of Owanlnef
Rae. rt 9.qd.
Enu0. Din.
'111EK.
1.00/1100 (Area)
OAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑Private 0
USE CODE
I hereby Certify that I have read and examined
ned this application and have read the "NI) 1," ii included
re
versq side, and know the same to betrue and correct. All provisions II, l 901 d11,I governing Ink
type of work will be complied with whether specified herein or not. The granting 111 .1 1 do, Dot presume
20 Sive authority to violate or cancel the provisions Of any other state or local law',ILI, i ni1,lruction o, thc
performance of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
DATE OF APPLICATION
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
FEES COLLECTED
Single
OD Building
Plumbing Ir'.00
Mech.
Plan Chock
SEPA
Mobil No
Other )EPeclty)
TOTAL S .C.m
P
PERMIT NUMBER
03• *SOO
•5008
•Goo 8
80342
OP -12-81,
2 6479
WHEN MACHINE VALIDATED IN IVIS SPACE.
i