1981, 11-25 Permit M81B-2025 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
//7-,.)? C--67
'LAN -NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFPIMON / SPOKANE, WASHINGTON 55200 / MOM 1660675
APPLICANT; COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
RMIT NUMBER
LEGAL DESCRIPTION — SEE ATTACHED
o-,
4.
5.
,tN'a + .Pnriuurn L Lori-0/t
ADORE52
RU.l F rrrtNik . SpelEro.,y law
CONTRACTOR r
q76,q44
PARCEL NUMBERS
r-
SIP Actu.l Set Backs In FONT
CI CID !1�, Elam' 111Soum (Eatzone caammtion
PHONE
SUa or atal
Len
ADDRESS.
DESIGNER
ZIP
PHONE
.TS5.Cena
Valuation
OscmuPq r 5 area
l DYer 0No kll7 Mu,.
501151n0 Arm In Se. Ft.
ADDRESS
CHANGE OF USE FROM . ITO
ZIP
OFPE O NEW 0 ALT. 0� .O.N. ❑ RPL. 0 MCI.
'IL
wood OD. D Fl.ral. !I MSCN. 0 M.H. 0 POOL
❑•OTHRR
Main Floor JI 1FPparFlaort r ammo Mao
•Arm of Darla I Finished Basement I Unitn. Basement
Storage
No. Bath. I No. Stories Rooms INo. of Ow.11ln.s
Rac a. �lol Me'G.
CERTIFICATE
al EXEMPTION
SI000Ist WORN lnum, OM, ILomllon (Atm)
Q - t>txe 4ou
VALUATIONIIrrs�oURpCs ate ELECTRIC WATER SEWER pwnaNlllp W6 Coo!
0. (UTILITIES Pm. OPINat. 0I
I hereby certify that I have reed and examined this application end have reed the' NOTICE" provi ons Included
on rMit a side, and know iho some to bo true and correcL All provisions of laws and ordinances governing this
typo of 'work will be complied with whether specified herein or not. The granting of a permit does not presume
to gilts authority to violate or cancel the provisions of,any other state or local law regulating construction or Inct
porlortnEna of eoltstrucllnn. SEE REVERSE SIDE FDA REOUIRED INSPECTIONS 11
DATE OF APPLICA FIONA II—I4—A1 SIGNATURE OF APPLICANT rw.
..OICIAL APPROVALS NICIAL CONDITIOIm:
NAME OATS
No.
NetiM.
FEES COLLECTED
Single S
Building
Plumbing
Mash. 4 11 .00
Plan Check
SEPA
Mobile Homo
other I6peelfys
TOTAL S • t ",.05
04e 417.00
.1700
A17.00t:
A ca0a
202oo
1,1-20-81
f 6479.
WHEN MACHINE VALIDATED IN THIS SPACE, ' „r.` ,r L`.46
THIS BECOMES A PERMIT.