1981, 12-11 Permit: 81B-2656 Inspection CardINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
-4
REMARKS:
r
�,. t' y //n 1 a c N
- /y /- w
PLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING,CODES DEPARTMENT
NORTH Eft JEFFERSON / SPOKANE, WAENINOTON 99200 / MOM SSEJE10 •
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3.COPIES
JOB ADOR
SS
1
LEGAL DESCRIPTION -SEE ATTACHED
1 ADDR .HER��f? n l*( f 'U,J1 q vvvm
4. pD PACt 1M
DRl a=N C 44_9, IC
eiT -o753
PARCEL NUMBER'S
E ?4L((, =71— IsoTM
'99 ?-67 T.P. a .
sr
an. COW ma. wad
❑y9. One • o :.e'<.
froONE
Building Arm In SE. Ft.
•
Paot Uotror Moon Carom Arm Storm*
EHANCE OF y5VV I Z7 0°
Cyj
Tv ❑ NEW � ❑ AWN. ❑ RPL. ❑ sos. ❑ orHER
T. woRN
0 ELp. ❑ PLME. Cam. 0 M.H. 0 Poo.
No. Sans
.0 orros
NO. Rooms
CERTIFICATE
of ON
EXEMPTI
ON. I Lao.. (A ml
DESCAIaE we ;N Enu
fd \5C* I i 1V 1 UY 050
[LE<TRIC WATER r ER CODE
°� ° o w I . oabal. D pSE p
1 hereby unify that l Ihave read and examined this application and have read the "NOTICE provisions included
on reverse fide. and know the s a to be true and correct All provisions of laws and ordinance governing this
type Of work will be complied with whether specified herein or not. The granting of a permit does 001
presume
to firm authority to violate. Or S cancel REVERSE SE SIDE Of any other state a ECT law�I quieting construction r the
performance of consWCb/o{{n��. SEE EyyREppVE11RSE SIDE FOR REQUIRED INSPECTIO s� P
GATE OF APPLICATION 1V- -I —C]1 SIGN ATURE OF APPLICANT p
SPECIAL APPROVALS
NAME OAT
mo
-no Mormon
Ile s...wear
:E ACheckimt
SPECIAL CO
OIMONS.
FOR GAS APPLIANCES
PIPE SIZES ..4 12II
PIPE LENGTHS 3c,
BTUS /(!D Q,
a.
ES COLLECTED
Sin9H S
B uilding
Plumbing (e/J
MsN. • \ aaci
P ion Ch k
SEPA
Mobile Hate
Doer INpsifyl))Q
TOTAL S ID -'sr
RES I
IT HUMBER r
04. •1800
•1800 0
•1800E
A •000
26552
12 -11 -81
6078
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS SECOMES A PERMIT.
8
1