1981, 04-21 Permit: M80B-4188 Inspect2.
LICATI ' N ERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE. WASHINGTON 99280 / 16091 466-3816
APPLICANT, COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB I.ORES1``1S S
LOT I BLOCK�I UBOIVISIOF
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
ADDRESS \
—7 0 7
CONTRA TOR _ (�
4. ADDRESS e
NUMBER/5
PHONE
ZIP
9
DESIGNER
Px ONE
2 fr—frtsZ
21P
9'a• �
PHONE
Actual Sal Sacklsoutn�
Sim or Parcel
IW.N
zone classmmuon
M Co..
Valuatlon
SPrinkl.r.9
❑v., Ono D R.o'o.
BuIl9lnp Arm In S. Ft.
• ADDRESS
ZIP
HANOE OF UEE'110
9.'
TO
T WORN 0 PLO. ❑ PLM9. ,116IsMECH. ❑ M.H. ❑ POOL
TVPE .NEW ❑ ALT. ❑ AWN. 0 RPL. ❑ MVE.
❑ OTNER
Main Floor I Up. moors D Arm Stoma.
Arm or Dmiss I Mono. 81Nrmnl Uniln. 8116.0111
Na. Bath. I No. Storlar I No. Rooms 11:46. of 86.11100
R.011. I Rat o. (Not R./.
DESCRIB
a
VALUATI
9.
N1I eOJRC6 OA'L 1 I ELE?
(UTILITIES XOZ
CERTIFICATE
I EXEMPTION
Enum, DIN, ILe . tlon (Arm)
ATER
EEWI
Own...MP
Public 0 PNVat• Q
IUSE CODE
1 hereby certify that I ,have read and examined this application and have lead the "NO IICE" Ilruvisi0IIS included
on verse side, and know the same to be true and correct. All pluv I ons at lows and nldinances governing this
type of work will be complied with whether specdied hereto or nat. The granting ”I e I iel alit 01»19 001 plasumn
to give authority to violate or cancel the p1ovIRals of any other state or local law regulating construction or the
performance Of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION A-2-1— W) SIGNATURE OF APPLICANT),V7 q"'-1,JIJ,'t
�
SPECIAL APPROVALS
NAME DATE
En.. H.al1
Poo near
Ian s Examine
SPECIAL CONDITIONS:
PEES COLLECTED
81091 9
Building
Plumbing
Mach.
Plan Chock
SEPA
Mobile Horn.
OIhat iSp.eihl
TOTAL 8 a c+
•
A
41879
11 -25 -80
2 6979.
690 f
*9.0
*9.00$.
0000
WHEN MACHINE VALIDATED IN THIS SPACE,
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK �_�
FINAL INSPECTION: 1-(r-(4(1 %112
DATE
-a-14(
REMARKS:
/