1981, 06-03 Permit M81A-4392 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W
SET BACKS
FINAL INSPECTION:
DATE
REMARKS:
NORTH 011 JEFFER50N / SPOKANE. WASHINGTON 99260 / 160914669616
APPLICANT: COMPLETE NUMBERED SPACES - PRFSS HARD TO MAKE 3 COPIFS
2
JOS ADDRESS
LOT
S F� n'S
ISODDIV ISION
ar OWNER
a So/ . /I!• 64 GiraL/e.
Awns&
c,o{rv6 AV /6 fe/ ie
DESIGNER.
5. ADORES
CHANGE OF USE FROM
PHONE
?AA -4A.3
ZIP
HONE
Tar-Noo
ZIP
P ONE
TYPE 0 NEW 0 ALT. O AO ❑ RPL. 0 MVE
7. OF 0 DLO. 0 ELMS. D MECH. ❑ POOL 0 OTHER
WORK
.f 0 //e.( f' T h
VALUATION
<'•z •r/// u ri
SOURCE ( GAS ELECT I WATER
UTILLTIES
SEWER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Ae ual Set Baca. In Feet
19e.m Ea„ /Wet1 51u of Parcel Classification
Tooe Consl. OwuPanry SVrinMergl
OV., ON. ID Rea,
Valua,lon BUINIne Area In SR. Ft.
Main Floor unit. Floe," Garage Area Storage
Area of Decal
Flnlsnea Basement
No. suns 1 No. Stories No. Rooms
Vann. Basement
No. of Dwellings
CERTIFICATE I Rw'si.
of EXEMPTION
Enum. Dist.
Ormarship
Location 1Arwl
USE CODE
Paw l< O'v bete
I hereby certify that I have road end examined this uppl n and hues wad the "Nfl a. inn• nnl.n1."1
on reverse side, and know the C same 10 ha ,rUe and coma 11 1101 .III.. id laws a . • . . in • nml not.
type of a the will be Compiled cancel
whether specified of any
orsot. 'I h.• Slot! nl '� •. n' Isl�<s.n ne
performance
fire authority c ns violate ,Sor E tEe SSIDE Of any Other N S ECTI N i. n.i.. .Il�le Nina �, h.•
pnrformonce of com[ruction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS..
DATE OF APPLICATION S—re. = Tf SIGNATURE OF AI•Pt IeANT __ % .Wr•Y .
SPECIAL APPROVALS SPECIAL CONDITIONS:✓✓J
NAME DATE
Roc,.
Not Rapsi.
FEES COLLECTED
5" gl $
duetting
Plumbing
Mach.
NP.
Plan Check
/00 o0
�pC
SEPA
Mobile Mame
Other I0P.0,lyl
TOTAL 5 /d 0
1/5 tZ
a14GG
a Aprl 11,,
.14.00'4
.000 0
I?
OS-OD-81
6479.
1115R1 Lor..sl L�,nrvl