1981, 10-12 Permit: 81A-9088 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS
/a/ j4. REMARK/
�
2 3 `
�7_ 16 c' i/ �s y r� �/ 7i/ <r /iii
`
NUMEER _. _..
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Ell JEFFERSON / SPOKANE, WASHINGTON 99260 / 15091.59-3615
APPLICANT: COMPLETE NUMBERED SPACES
— PRE.`:S 'r/r\f'I I_) ;I/r
3170 ADDRESS
• S
LOT E LK
2
mI51DA a` RoPo
/! C
LEGAL
DESCRIPTION — SEE
ATTACHED
OWNER
a N. N • .Pt.PAs
ADDRESS
S, 1�?5 Fqw
PHONE
q7g—lova
PARCEL NUMBER'S N. 1'1.69 ,F LLT9 i 5.41.11
T' 0.04 2 Exact Ham - Ai A HGIQHTS
21544' Ito IE
ZIP
'147.06
Acluel SO Becks In Feel
5' 155Pm
10.sl 30
CONTRACTOR
4• ADORED
SM4
PHONE
Sex 141.aT1
Zone dnruon
A6 l,'AAOUE P1 ,
ZIP
T pe Coos Occupancy
AI -I
erod
OV.s Otto k10 R.o•a
DEEIONER
PHONE
ValsatIon le Tet .
Sullalm Arm In Se.
552
ADDREEE
.In F
O.raa. Area smrm.
CHANSE OF USE FRO
TO
ro of Decm
M Be
Un BAN
TV'.
tiff NEW 0 ALT. 0 AWN. 0 RPL MVE.
0 MVE. OTHER
WORN (DJBLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
GE1CR1EE WORN
I& Ac.M.O t Rae. QaL.la2 X i
JyL,ATION 50URCE OAS LECTRIC W TER SEWER
9111P5AQ_ u7ILTIEs R' nc
NO. 51000
CERTIFICATE
09 EXEMPTION
nu
Em. ow. Lem., (Ares)
op p
No. of Dwelilme
R.t'a.'rot Rr9'U.
USE CODE
6nc'O Prnal.
FEESCOLLECTEO
S n91.
I hereby certify that I have rued and u ,.., Ibis .nllhi.,fl niJ '•.. .1
On
side, and know the same J Buittlin9
typo 01r WOlk will be complied wth suecifivd
IO give authollty t0 PIONS° Or CSneel the 131101411111, 11i1r1 1'
performance of construction. SEE REVERSE SIDE FOR REOUI Het)INCPE';TION7 PIumbin9
Mp�OAT[ OF APPLICATION
moo.
SPECIAL APROVA SPECIAL CONDITIONS:
NAME DATE Plan Cheek
Cary AP'D0AIm MEWLS 74.••••1 1YIP.Ie.H.09
SEPA
Mobilo Home
Other (Specify
TOTAL $ �.DO