1981, 07-31 Permit M81A-7490 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REM RKS:
lit_
WLAN NUMBER
APPLICATIOP /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 1311 JEFFERSON / SPOKANE, WASHINGTON 99.0 / 16091 466.3676
APPLICANT: COMPLETE NUMBERED SPACES -- PH FSS HARD TO MAKE 3 COPIES
IV
LOOB ADDewRESSCK 9u24,3 O�
2.
oveN
3 ADORE
C N CTOR
4.
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBERS
9 � 7
DESIGNER
6. ADORESS
CHANGE OF USE FROM
a
TVPE 0 NEW 0 ALT.
7. OF WORN 0 OLD. 0 PLMS.
8.
0 AD
IP
kk
ZIP
❑ WE. ❑ OTXE0.
❑ POOL
Actual Sat Backe In Feet
North I9og1k `East IWeet
zone CIarNlteuon
Mee of Parcel
Type Conn
Valuellon
MUn Flom
Occupancy l Sommer.
❑ yes 0Ne ❑ Recro.
Building Area In Sq. FL
UMW' Floor r Oelage Alea
Area of Deeke
No, Boles
Fln1511. eatemenl
No. 5lmler
No. Rooms
Storage
Unlln. BNement
No. of Dwellings
CERTIFICATE
of EXEMPTION
MUM DIR.
Location Weal
Rerrel.
VALUATION
9.
SOURCE
UTILITIES
GAS 1 EL TRIG
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
1 hereby certify that 1 have reed and examined this application and have read Use "NOTIr:1' provisions Included
reverseon side, end know tho same to he true and correct. All provisions
of law and 01 ill1:nlrn5 governing this
type of work will be complied with whether specified herein or not. The granting of n i,.',Oil does not presume
to lave authority to violate or cancel the provisions 01 any other slam or 10ca1 law Iepdalnei construction or Use
pvl lormonce of construction. SEE p REVERSE SIDE FOR REOUIRED INSPEC NS
DATE OF APPLICATIONS /� // SIGNATURE OF AI'PLI
SPECIAL APPROVALS
NAME DATE
Env. Heath
4
C
II I Kim
rma...law
SPECIAL CONDITIONS+
Reed. rol Rey'0.
FEES COLLECTED
SI oI S
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify/
TOTAL S ./4/61'1
04P •14QD
.1400 tl
*14006
A •000
74892
07-28-81
2 4479,
WHEN MACHINE VALIDATED IN THIS SPACE,
_TH I SA ECOMESSP.EDMLL