1981, 09-14 Permit: 81A-9173 InspectionINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS:
PLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE, WASHINGTON 09260 / 15091 460-9675
F.'.1011
APPLICANT: COMPLETE NUMBERED SPACES PRFS`` u;l "!`
/
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K 1
LEGAL DESCRIPTION — SEE ATTACHED
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PH - I34,
ADpP; 1 '741q ildiN
Actual e .00 [Scum IWyt
Ezopr
CONTRACTOR
MoK r"fzI c...,1I(J1.y
PHONE
489 8715
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DESIGNER
a
PHONE
alu 0%Z Building Arm In Sq. Ft.
ADDRESS
ZIP
onr l um.. Floors a . I Stomm
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CHANGE OF USE FROM TO
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1Areo Jcqq 1 FInINB.r ement 1 UIn
1B1 l easement
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RN Wino. ❑ PL MB. ❑ MECH. ❑ M .N. ❑ POOL
. N o. StoRm No. Roam No. of Dwellings
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CERTIFICATE W'a. of RWIe.
of EXEMPTION //
D CRIBF wOR �b0 P�(I J rj�
1
Snum. Dial. location (Anal
PEES COLLECTED
SI i
SOURCE OA9 MAC RIC I WATER I SEWER
0. UTILITIES Oe PTI! r
gvn0M1P 'IMF CODE
MAIM ORlvate SP/'
1 hereby
reverse on
type
to give
parformSncs
DATE
certify that I have rend and examined this applicnhnll
aide, and know the same to ban o And chime! All
of work w111 be complied with whether specified helm. no
authority to violate or cancel the provisions of any oche:
of construction. 8 E REV RSE SIDE FOR REOUIRED
aml hove won i
pinvlathns of laws
not. The !panting
stew „l 10 -
INS'_CTIg
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91
Building
Plumbing
OF APPLICATION ._ SIGNATURI .0I
Mach.
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ECIAL APPROVAL
N ARM OATS
ECIAL CONDITIONUI
JC/
Plan Check
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Mobile Home
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