1981, 05-27 Permit: 81A-5140 InspectJL#IJo,0009550
LOT
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SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / (SPOKANE, WASHINGTON SB]60 / 16051 4660676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
BLOCK
6D47 AP° dDiew.co
BDIV
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBERS
OWNER g&/0..jer-
3 A;(775s k) Ca.., a.
.. DN SI ";weal 0 PIIA KTATF
A R.,
• Hi/63
DESIGNER
E.
ZIP
PHONE
PHONE
Actual Set Becks in Feat
No. 'South
Sloe of Parcw
Type Co..
Valuation
East
(West
Zone Classification
Sprinkler.
Oyes 064 0 nixed.
G•Nw Area
Bullaln9 ANN In Se. Ft.
ZIP
Main Floor
Upper Floors
Storage
a
CHANGE OF USE FROM
TO
Area of Decks
FINSONI Basement
Unfln. Bewment
TYPE D ew IrO�.A��LT. 0 AD'N. 0 RPL 0 MVE.
T y...L
WORK O ILD. MB. ❑ MECH. ❑ M.H. 0 POot.
0 OTHER
No. Baths
No. SiwIM
No. Rooms
No. Of DwINIMas
CERTIFICATE
of EXEMPTION
Rec'a. SVot Rap d.
a
DESCRIBE WORK
VALUATION
90URCE
UtILITIES
OAS ELECTRIC WATER
SEWER
enum. orst. LO0(Ion (Arc) FEES COLLECTED
Ownership USE CODE
Public ❑Prise. 17
9. El gl S
I hereby certify that 1 have read end examined this application and have lead the "NO 1II'I Il lsnudvo
On reverse side, and know the same 10 be true and Correct. All provisions of laws and eLee•es govalning u
type of work will be complied with whether specified herein or not. The granting of „ .. tin not n1eaUlne
to give authority to violate or cancel the provisions of any other stale or local law let a ..rh...lI II, or the
pertormence of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION . /.b 47/
MECIAL APPROVALS
NAME DATE
any. N..IIh
Phi iTdhv
• Marshall
SIGNATURE OF APPLICANT
M/CIAL CONDITIONS:
Seeding
P lumbing
Mach.
P lan Chock
SEPA
Mobile Horn
Other ISp.ollvl ^`J
TOTAL S/
L — '/—
d 6 4 ,.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
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