1981, 04-17 Permit: M81A-2222 InspectINSPECTION RECORD
OWNi?R
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE / REMARKS:
V/241? a/
r --/l4
NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE. WASHINGTON 99160 / 85091•6,228/5
, APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Joe AooaEss/. %(/'VI%/ /
1. •
LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK arIEDIIIOry
PARCEL NUMBER/!
R
ZIP
a AODRE 0 ��� �F-y ..V
Adual Set Backs In FM
mouth
cToR,J
L
VtlONE L`
._.11P,.I
:;: Type onst. OrupancyValuatioArse
In SA. Ft.
b' ADDRESS
IIP
Mein Floor Upper Floors Gomm Arse
CHANGE OF USE FROM TO
B.
Arse of Decks Flnlsh80 Baseman UPlln. Basement
TY0
/KNEW❑ ALT..WN. 0 RPL. ❑ MVE. ❑ OTHER
7,
wools 0 SILO. 0 RS. MMECH. 0 M.H. 0 POOL
�
No. seks No. Storler 1 N.. Rooms 1I810. of Dwaine*
CERTIFICATE Rev'd. Rse'd. rot a., a.
of EXEMPTION
& OEBCaIeE yyygR \, .A.J
[num. Out. Loudon IAraal
FEES COLLECTED
Single 8
VALUATION SOURCE OAS E EL CTRLC WATER SEWER
9. uTNYTIES ��/
Own.rrnlp DU CODE
Pumm 0 Private 0
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct, All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provision. of any other state or local law regulating construction or the
SEE REVERSESIDE FOR REQUIRED INSPECTI N
Bu1MIr19
MumBIrf:
performance constru .
CATION / SIGNATURE OF APPLICANT it-A"-Mech.
DATE OF APPLICATION
I
SPECIAL APPROVA
NAME DATE
SPECIAL FCNDITIONS:
. ..
Pian Chock
PA
tnr. HsenA. ...
3 Inn IN
Mobilo Home
lSpecitvl
nv n e,
Other
1-,,, e �r `o
-
04•
.1600 i
.1600 0
*'16008
R
*000 0
22019
03'.10-81
6479,