1981, 04-03 Permit: 81A-2940 InspectOWNER
INSPECTION RECORD
CONTRACTOR
NSE W
SET BACKS
LOCATION
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH til JEFFERSON / SPOKANE, WASHINGTON 99990 / 1509).663616
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
S -P347 •o ay,
I
PHONE T Ove ❑N9 O R•9•d.
•RESS
tew ar
CN EP M
roy Corm Deco. Mr
ajilillIllIllni
of .lil naw ❑ ALT. O AWN. ❑ RPL. 0 MVE oo. [•. No. s�
0 ❑ OT ER N
NIlE W•R ���)>� ❑POOL
. )7111rsarrill11161,01471
---7 iiiiiiiiill
AL A I
SOURCE OM /'(S-tSJT1.>• a® FEES COLLECTED
DTII The-ATER atWlR OwnerMIP USE COO/
I herby co tify that I hate raetl end examined this E Nene °Prim. 0
on v Nn aide, end know the same to be true end correct. All pr nave lead la and ICF" provl9l ve ling thietypeeof wolfs will be compiled with whether nein or ol, The ranting laws end p. M, do snot pro thisto pivelaulhority to violate or cancel the provsionsflof any other sate ore local law 'e91,lotl,R lomlrruction oruhe
performance of commotion, SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
Or APPLICATIOSIGNATURE OF APPLIC
riC1AL APPRNAME A 'tMN.IAL CDND17pMa;
HANE IMT[
JOS AGGRESS
LEGAL DESCRIPTION — SEE ATTACHED
*Dol
CON
911
DESIGNER
ANC. OF US
TVPa
WORR m.o.
DAT
RO
70
0 PUNS. 4IMECH. 0 M.H.
/ 1
No. Roomr
o. of Ow•i11nos
SI le a
Building
Plumbing
Plan Cm•ck
SEPA
Mobile Hone
Other (Speedy
TOTAL d�
PERM [
Ma",IFT-
WHEN MACHINE PALIOATFn IN OAR .SPAT
04. •1400
•14,00
•140()
A •0008
9939y
04-01-81
Y 6479
ti
e1
1