1981, 12-28 Permit G81B-2899 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL. INSPECTION:
DATE REMARKS:
/t)
lBN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH el t JEFFE RSON / SPO0ANE. WASHINGTON 99260 / 16001466.31176
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3.COPIES
• 0 DRESS
L0 LO H /
Are/ Pr /tal
SUEDTVISION
Ow HE.
.o2ESS
. 9 ea, F. /ri,
CONTRACTOR
irifCNA/f7 or
DESIGNER
AOORESS
CHANGE OF USE FROM
PE D new
wog0 0.Lo.
❑All.►r DAO•H. 0oPL.
❑ PUN.. ❑ MECH. 0 M.H.
PHONE
PAY P/3
ZIP
PHONE
ZIP
49.2/
PHONE
ZIP
D MVE. 0 OTHER
❑ POOL
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER'S
F u.l S.t flecksNorgeSoulh••t EHl IWe
tt
Size or Parcel zone Cla,.l.lcalron
DX., 0,e kl0 a .
Main Flew I Udoer Flopre G . AN.
Arno of Oecle.
CERTIFICATE
of EXEMPTION
DESCP E WORK Location IAINI
bra
roe f f/ur O��.LLL r-- f..a.wre wnr 7.n N..fra
AL N SUOR[ESI 4.S ELECTRIC ER SEWER Pu.l ,nlo USE ccoE
I lIcORINND
hereby certify that I have read and examined this application and have read the ^NOTICE" provisions included
reverie trueside, and know the sae o be true and correct. All provisions of law and ordinances governing this
roe of work will be complied with whether specified herein or not. The grantin of a permit das not presume
I give authority to violate or cancel the provisions of any other state or Weal law regulating construction or the
erlormance of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTION
DATE OF APPLICATION Is' --/ T - fr/
SPECIAL APPROVALS
NAMDA
TE E E
SIGNATURE OF APPLICANT
Feu, OM.
yeene
SPECIAL CONDITIONS:
r/ Oarrq
•
FEES COLLECTED
S' ale
Building
Plumbing
Meth. 00
QM�1r F5 0.A 0
Plan Cheek
SEPA
Mobile Home
Other 15pecily1
TOTAL S!!
PERMIT NUMBER
GO• •1900
•1C00
•19008
F •000 0
289.88
12-21-81
6079
Flmm . Ba..m.1 1 Unlln. 9.vm.n1
No. Balite I No. Stories NA. Room. INo. ol meddle.