1981, 05-21 Permit: 81A-4969 Inspecti2
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INSPECTION" RECORD
,
OWNER LOCATION
CONTRACTOR TYPE OF WORK
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N S E:: W FINAL INSPECTION:
SET -DkftS
Ji
DATE REMARKS:
Zal� /,C el 4�,P7 24
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PLAN NUesel - APPLICATION/PERMIT
vl. PERMIT NUMBEp
SPOKANE COUNTY.— BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKAN E7wnSH INGTON 99260 / 15091456-06)5APPLICANT:
OAL
800
alp R
r
r '
as 7' F
COMPLETE NUMBERED SPACES —PRESS HARD lO MAKE 3 COPIES
Joe ADDaJR�7
LEGAL DESCRIPTION— SEE ATTACHED
z
PARCEL H—EER/s
a
ADPY'32.9
CONINTVR ci q ONE
a of Parcel ne cNsunutlon
ADDRESS ZIP
vne Canat. ccunancvSallnkleree
El_ ❑No ❑ Ree'E.
_
DESIGNER - - PHONE
Iuatlon Ilal 9 Area Ie SqFt.
6' ADDRESS ZIP
aIn Floor U11.1 Floo areae Are sto age
CHANGE OF USE FROM TO
Ara of Decks Flmsnee eas.ment unf ln. tlasemant
TYPE d NEW ❑ ALT. ❑ AD-N. ❑ RPL 0 MVE.
No. r.Ho. Store. N4. Rooms . of 1-111111,s
%. OP D ELD. ❑ PLME. ❑ MECH, ❑ M.H. ❑ POOL OTHER
WORN
.0 ac a0
CERTIFICATE n R a 1
of EXEMPTION
& DleCRlel WO I 3 II I 1I
IT
Er—Dnt, uHonlArul
FEES COLLECTED
VAL N p ! OA LECTR C WATERS.
CODE
sO
B. UTI LITCIES
Ic Prlvst. ❑
$inala $.
1 hereby cattily that I have reed and examined this application and have lead the "NDI"h" �� ,i� � i i�lrli•.�I
on side, and know the s me 10 be true and correct. All Platy isi��ns �,I laws .� �iAy Ihi.
8ulldina
in or no . i
type ofrvyork will be complied with whether ewifled here r The Gran E, a �Iv.l
to EWa authority to violate or cancel the p"'hi na of any other slab of Incal law �'yi,
performance of construction, SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumb'Ina
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DATE OF APPLICATION-/r .70 SIGNATURE OF APPLICANT X/liL..
SPECIAL AMRDVALE
SPECIAL CONDITIOM.
;, NAM! DATE
Plan Ch.ck
SEPA
Mobil. Nom
nv,-.an
1
/
Other lSpeOlyl
mn.s
TOTAL $
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