1981, 01-15 Permit M81A-0503 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
N NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH St JEFFERSON / SPOKANE. WASHINGTON OSSEO / (60Y) eS6-06T6
M
PEAMITNUMBER -
-- I
PA--o5e,--3I
APPLICANT COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOE ADDREls
Lot 1 ELULA
(Lou?. E 8JPnaa(th.oy
NE
ADGR
COAT A
+11r1K
'B .47D 7-
DESIGNER
▪ ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NVNBER/S
ONE
D/S./s-i
Non
; I Set Bscl i6ou neat
PHONE
Size of Puce,
459.E 7
nmoNe
TYne Coml.
aluation
0ocrwncy
IW.R
Zone COUlllcatlon
sorinkl«.a
Or.. ONe ❑ Raced.
Su kilns Ares In Se. Ft.
ZIP
sin Floor
UPPar Floors
Geroge Area
CNANOI OF USE FRO
TO
TTR IiirnIEW 0 ALT. ❑ AWN. 0 RPL ❑ MVE.
T. Ole
WORN ELD. 0 PLM.. *RCN. ❑ M.H. 0 POOL — OTHER
Area of Docks I Pinioned B4Nment
No. Baths
No. Stories
No. Rooms
Untin. bs.nlmr
No. or Ow. .root
CERTIFICATE
of EXEMPTION
C
VALVA
f WORN
JD
UTILITIES
OAS 1 ELECTRIC WATER
AQd
SEWER
!nom. Dirt
Own.rmro
Location (Area)
Public 0Privet. ❑
USE GOOF
I hereby certify that I ha e read and examined this application and have read the "NOTICE" provisions included
on reverse fide, and know the same to be true and correct. All provisions of laws and uidirlmtces governing this
type of work will be complied with whether specified herein or not. The granting of n pr•rnrrl does not presume
to give eulhotity to violate or cancel the provisions of any Other slate or local law regul,rlrily construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION /—/5 .,' SIGNATURE Or APPLICANT
MCIAL APPROVALS
FAME DATE
IYIY. NIEIErWiR�E�eR^^^
BISMIxte
b1 Ma.M.R
S'lRnear
OFICIAL CONDITIONS:
ao K,w
FEES COLLECTED
Sing! S
Building
Plumbing
Mech.
Plan Cheok
!EPA
Mobile Hem.
01Mr (Sp INI
TOTAL S
0 4 o .1 4.0.0 �
014.004
• 1 e 0011-
A •000
5029
01 -1 5-e11
lob
40, 0
WHEN MACHINE VALIDATED IN THIS SPACE,
111