1981, 02-04 Permit: M-80-6692 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
NN9MBER -- APPLICATION/PERMIT
PE.MIT NUMBE
" SPOKANE.COUNTY — BUILDING CODES DEPARTMENT
_ NORTHIHIJEFFERSON/ SPOKANE,WASHINGTON-0/(608)46&3876
''Y
0U*.900
SLEGAL
900
•9.006 .
-APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
i. me woEI DESCRIPTION - SEE ATTACHED
VA-RC—Ef NUMBERS
Z
Dwne. G
E "0.00 8
�.
66919
3 tYe, Ful
AOORFSS . 2up S.t B.ue
I.'.'
07-07�80etA41
3 6479
CONT. T - ONE eolPncH ton.Cle..11utlpn
4. AOOR TTP. conn. OccuP.noY
O 0 SPY.. CIN N1OR.W..
0881..8. PHONE Value1... BOIIOm. Are. In Sp. Pt.
-
E• ADDRBae ZIP men F.— ..... P.... ..Mx Are, I
CHANGE U8S PROM TO .IM .1 re.amend I Ladle. an.searan,
N
.���NN.//J/ No. B.UR, 0. Storl.. Na. Rn— No. pl pwelllnx
TYPE ❑ NEW ❑ ALT. q—.. ❑ RPL ❑ MVE.
0 OTHER
7, OF BLD. ❑'"LMB. MECH. ❑ M.H. ❑ POOL CERTIFICATE x Re. -c. o Rep d.
I
WORN at EXEMPTION
omit... wORK (LAJ ' Enum. Disk. uHon fRrx
FEES COLLEC7E0
& 7
-CO-)
_
V LUAT ON 5 CE OAS TRIC WATER SeWER USE
IL UTLITIES Pab11c,O Prlwl. Cl
Single S
I hereby certify that I have read and examined this appliwion and have lead the "NOTICE" W ovislons included
on rev side, and know the same to be true and correct All provisions. of laws end ordinances governing this.
BWlding
type ofr work will be Complied with whether specified herein or not. The granting of a permit does no presume
to give authority to violate or cancel the provisions of any other state or local law regular)" construction or the
performance of Construction. SEE REVERSE SIDE FOR REQUIRED INSPEC S
Plumbing•
DATE OF APPLICATION SIGNATUREOF APPLICANT
reach -
Plan Ch.eM
` ,1
SPECIAL APPROVAL11
.AMB DAT8
SPECIAL CONDITIONS:
FOR GAS APPLICATIONS
n
PIPE SIZES
SEPA
"
-
PIPE LENGTHS
--
EITLIS
-
mi Xan.
Other 18p.elfy)
� l+
'
'
-
-,
IIID.
_
TOTAL S
n�^'7
WHEN MACHINE VALIDATED
-
IN THISSPACE.:-