1981, 02-19 Permit P81A-1117 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
44- _106,49_ se_
NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE. WASHINGTON 99Ze0 / t609) 4663676
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
PERMIT NUMBER
SIA-1(1'1
+AB ADDRESS
1. G. - 7314 hT
2 I '} I Iin'Dea/ ADO lTronr
OWNER
3, f101 f1IRIE. Ali FN
ADDRESS
E .'f314
CONTRACTOR
Noll.- lrll65t Rfcolu�TPtJcrsnnL
N.SLOG iViApsEt
6' ADDRESS
PHONE
ZIP
PHONE
40A-4000
ZZInIIPAPnnMM
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBERS
Actual Sol Backs In foot
I
Stu of Pawl
TYPO Const.
Valuation
ZIP
Main Floor
soon 1WR
M Claotlrlmtlon
OpcePenq SPrIn1INM
DVes ONO ❑ Rep'd.
BUIl01ne Arm In Sp. F1.
Upper Floors OerMo Arm
Storm.
CHANGE OF USE FROM ITO
Arm of Omxe
"IMAM Basomxnl
Unlln. Rosemont
TVPC 0 NEW 0 ALT. O AD'N. ID RPL O MVE.
OF
WORN 0 OLD, "_ CleeLMB. O Naos. 0 M.H. 0 POOL
DESCRIBE WORN
a ReaPee BROKEN R*R1461 —
VALUATION
9.
SOUSUTIL)T165
45 New -Ca
ELECTRIC
0 OTHER
WATER 1 SEWER
Batbr' No. StoIlae No. Rooms INo. of Owotllnes
Rap'd. Ralcio. rof .00.
um.Obl. I1"""'"(Arm) FEES COLLECTED
USE CODE . .
No.
CERTIFICATE
of EXEMPTION
Ownership
owns
Public D Print. 0
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on re side, and know the seme to be true and correct. All provisions of laws_ and ordinances governing this
type of work will be complied with whether specified, herein or not. The granting of a pel1m1 Ones not presume
to give authority 10 violate or cancel the provisions of eny other stela to 16eo1 law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 4442_ - 51UNA r0RF DI API) J �/r�%✓�p-
SPECIAL APPROVALS
NAME DATE
Se.. Hulot
SPECIAL CONDITIONS:
l YI-TD.LIGN 31 NK
1 YIAB
1 5) Rn:
1 161Ls.1
1 IUATEQ 4EAiKQ
Si 91 S
Building
Plumbing 425.a,
Mach.
Pen Cheek
BBPA
Mobile Horne
Other 1SPecital
TOTAL $ ZS.00
•
03* •250.0.
*2500 0
*25006
A •000 8
111.61
02-03-8,1
4w,,0„lY.„ E t 7 4. . .
OAS