1981, 06-05 Permit: 81A-3870 InspectINSPECTION RECORD
ADDRiSS
DATE
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APPL1CATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON / SPOKANE, WASHINGTON 99260 / 16091 456 3675
APPLICANT: COMPLETE NUMEil-REI).;,: ('.I
JOB ADDRESS
T, 14. to k1o1,0r'
LOT BLOCKSUBDIVISION
2. 5 S I6.LLTfl¢ICh Uilarq UIrW $TII
OWNER
a wIILIM✓, iiQAALANO
DRESS
11 14 Vio-taaq
CONTRACTOR
4. GAME
5.
1ka PHONE334,1
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER,
1155A- t50`;
ZIP
CIGOIboon
PHoNE
ADDRESS
DESIGNER
Zil
pH
Actual Sg1a�.iSeeM e Fast Lest
int
p1ssolmatIon
ED A 126 2A6sme CIa�u[ 1.0LCAN
T e,c4 a
❑yea DnoLlo viecre.
�eln�3.lso
Building m 5g. Ft.
ADDRESS
GUNGE OF USE FPO
a
O
PE DI NEW 0 ALT. HAD'N. 0 RPL M
❑ VE
7. OF . OTHER
woRK RLD. 0 PLMB. ❑ MECH. 0 M.N. 0 POOL
•
mn F u UpperFloor. garage Area
ecu, FlniMe4 Basement I unfln. Basement
No. Beth, 1 No. SlorMs NRooms
No. oft welling
CERTIFICATE
of EXEMPTION
e.
DESCRIBE WORK
8. R1tRcNEo Gn2N1..E
Location (Area)
VALUATION soURCE OAS
OE 3, 700 UTILITIES
ELECTRIC
ATER
YJTIL
OwnurilliP «f
USE COO
I holeby a Illy Ulm 1 have 'cad 011(1e led this aplll ii ali,ai, i.
. aide, 11J know 111e same to he 1 .,.11
911 ragelFn a ,w am ree ,
typo OI work will be complied with wha[hai .,r
to give 511111000 to violate 1n. 0.0 0110 plov,,,,t s „I a
111„, .i
performance of construction. SEE REVERSE SILIF FOR RFOUI RCO INS'PI t I(INS
SPECIAL APPPRO✓AOLS 1 SPECIAL CONDITIONS: ADMINISTRn,,UE ORQIRvCENE I
YC¢ I'AiRAt&EO
4�hItoE S/2 a-
11:600)
IC,G,lt1NS'p RsY[
AS COLLECTED
5 g1 5
Plumbing
Meeh.
SERA
Mobile Home
Other lSPec ly1
TOTAL $ TT'OV
L.0'