1981, 02-02 Permit: 81A-347 InspectionriAMO
NUMBER
L S ADDRESS ���
I IPLOC 11TEES �fl10 7317
lA(
A
1
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH all JEFFERSON / SPOKANE, WASHINGTON 68260 / 16091 2663676
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER'S
OWNER
3. MIMI T. QOM
wDDREH
SA►f6 GrroatxeR.
PME2778
99016
Actual Sot Backs In Fact I Mt 119•01 Norte
CONTRACTOR
A. SST RARER SERVICE CO.
ADDRESS
2r3z l Ave
PHONE
455 -8050
scum
Mae of Parcel 2
Type Conn. I Dcaueanee
Valuation B
s n. a.mnupon
9202
5.
DESIGNER
PHONE
Ova Oo Sprinkler. 0 R.6.6.
V ul161n. Area 0 S8. Fl.
ADDRESS
ZIP
CHANGE OF LAM PROM ITO
6
Main Floor I Upper Floors Garage Area I Stange
TvPE 0 NEW 0 ALT. IZAD'N. 0 RPL. 0 MVE.
7 wonlc 0 •10. ,n •LMS. 0 MECH. 0 M.M. 0 FOOL
0 OTHER
DESCRISE WORK
WATER SOIPIENER
Area of Decks 1 61011.2 B.s.lnwlt I Unlln. Basement
No Bates I No. Stwlea o. Room. re. et Dwellings
II Ap.a. I Rea E. rot Read.
CERTIFICATE
of EXEMPTION
loom. Olal. !Location 1Areal
VALUATION 5 ELECTRIC WATER SEWER ONIHr00 USE CODE
0. VAL von.] OAS I I Public Private 0I
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
reverse on side, and know the same 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 permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
DA FL OF APPLICATION -1/12,/RI SIGNATURE OF APPLICANT
SPECIAL APPROVAL!
NAME DATE
La Mermen
e. Engineer
SPECIAL CONDITIONS:
11-0•1Y- 0110 v''1'. 3L' 1$1
FEES COLLECTED
Sn91
Sulkeng
Plumping
Meth.
N Ch k
SPA
MebW Ham
011IN Ifl.aelhl
P
SVA -3
03• •501
•30A
•3008
•000 1
.0062
01 -12 -81
P 6679
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS:
7c-