1981, 04-03 Permit: M80B-1100 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N SET BACKS W FINAL INSPECTION:
DATE
REMARK •
•
i
AN NUMBER 7APPLICATION/PERMIT
• I.�
SPOKANE /V_/Lie NJo COUNTY—BUILDING CODES DEPARTMENT ,Il_I"i✓t
NonTN ell JEFFERSON/SPOIc4Nt,P/ASHIN..rON 99.0/15091 a5A3675
APPLICANT: COMPLETE NUMBERED SPACES Pfi['. HARD TO MAKI*3 COPIES e
sr
TOE pp gg ; LEGAL DESCRIPTION—SEE ATTACHED X7.01'
.. CfAr AX.41,OR6T4ii>gr PARLEY NUMBER/a F 7.0 F, I
7.006
. PHONEz
3. 'ViYnA{ IA.,�Q.1' a a1-9zsx i *GOO
ASS TIP Actual 911,Backs In Feel
i Least P
CD TRACTOR PHONE sae of Parcel ne Class!,Pat!. 1',,—29-80
4. a,YN1. LIP Typecon... ccuPanoo p s n' 6.4 7 9.
I,,5�1� n ❑ver f7 No k10 aeon.
NER1' PHONE Ildinp Area In 9a.Ft.
6. ADDRESS ZIP Main Floor Upper Floor f 0111-a9e 0011 Sl0r119e •
CHANGE OF USE FROM 'TO Area of Backsinished Basement Skill,Basement
6.
SO.Sons I No. Un
.=ten.. e.Room. 1Na.of Dwellings
• PE 'AVE
❑NEW ❑ALT. 0 AD'N. 0 RPL. ❑
WP ❑OTHER CERTIFICATE Rea d. Need. Not Rapp.
ORR 0 SLD. 0 PLOD. X MICK U M.H. 0 POOL
of EXEMPTION v
. ArittSCRRIBcAIRN Eo'.BR. Laatan'Aae' FEES COLLECTED
VA`U— V { lOAS' Y/LaTRt( Al
E ERrsnIP
USE CODE
9, 1 _ nic0 Privet.❑ Single $
I hereby certify that I have rend and cxOnlillyd this etlnhcolidn Mal Fon lin; NI)I lCI''provisions included
on fevefse side,end know 1110 0111010
n bet and e I.All n Of Ia.,e,l.l sl.hIIsenoes 9oocorinIl this Soildlnp
type
of work will be complied With Whethei speedied h -1,011111111 n1 ,1 rnlipli slops not prnuille
to authorityc o,tiOlarucol e.S cancelRE d P s of y U at w .the Plvmbin9 '
performance Bf connrucdan SEE REVERSE SIDE FOR REQUIRED INSPECTIONS 'T(4`/
DATE OF APPLICATION_ 9—fr—J SIGNATunr.- AP I.ANTN
SPECIAL APPROVALS SPECIAL CONDITIONS: / Plan Check
NAME DATE
/t nv. as n SEPA
n re Mobile Horne
Other ISpeci1Yl
` n9lnaar TOTAL —7'6'2—