1981, 02-18 Permit: 81A-1616 Inspection CardINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 131 JEFFERSON / SPOKANE, WASHINGTON 99160 / 16091 460-3676
APPLICANT: COMPLETE NUMBERED SPACED — PRESS HARD TO MAKE 3 COPIES
JOBAQDDRESZZ44 pparytl!,�
�• LIG Oki IS�Btill1%ON
OWNER
& C1UOENODLYN .1NIEL
ADDRESS AtoNt) 0
CONTRACTOR
gblt F�UI
.PTE¢ S[L
4H' ADDRESS
E. f•P
DESIGNER
6. ADDRESS
CHANGE OF USE FROM
PHONE
ZIP
A921b
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/5
AGU.I SO Boo? In FN
Noan I aK wen
5N. of Par9N na CRNltImllon
Type Conn.
PHONE
valpetlon IIa1n9 Arm In Se. Fl.
zIP
Main Floor
Ulmer Floor, Gars. Arse I SW..
ITO
Tv.! I 1 NEW 0 LT.
7, OF
:WORN ❑ 910. PLMa•
❑ MECH.
❑ M.H.
❑ POOL
❑ OTHER
DESCRIBE WORK
Arm of Omws I Finish. 9amm.nl I Unlln. Sawn..
N0•CERTIFICATE atwim 10.0 0 Rooms 0 0. of
Ren a.
W EXEMPTION IJI
loom. DNA. I Locatlen (Arm)
S U1Ai ��$1NER
VALUATION SOURCE GAS ELECTRIC WATER SEWER punwsh)P USE CODE
B. UTILITIES I I Amoy ❑Private DI
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on aide, and know the same to be true and correct. All provisions of laws and ordinances governing this
type o(I work will be Cgqmmplied With whether specified herein or not. The granting of a permv does not presume
. 5 gIv authority to Waite or cancel the provisions of any other state or local law regulating construction or Inc
i parforifmnce of conatructlOD. SEE REVERSE SIDE FOR NEOUIRED INSPECTIONS
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
FEES COLLECTED
Engle11 S
Building
Plumbing •Lb
M.h.
Ran Check
SIPA
Mobile Nam
Cnnot leymltyl
TOTAL. S
PERMIT NU BHA
$IR —t[OKe
03•
•500'8
.5003E
A •000 8
161.56
02- 18 -B,1
WHEN MACHINE VALIDATED IN THIS SPACE,