1981, 03-09 Permit: 81A-1964 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S
HAE W FINAL INSPECTION:
SETDATE REMARKS:
3 -9-r/
r..... APPLICATION/PERMIT M%M R
SPOKANE COUNTY—BUILDING CODES DEPARTMENT
NORTH SII JEFFERSON/SPOKANE,WASHINGTON MEG/MOS14563515 d
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES i''
JOe I�DOb�E35�/y Q�yEe LEGAL DESCRIPTION—SEE ATTACHED
04. •1 A 010'sr
lOT blOCR"( "' UMBER/6 •1 ft. 0.
2 � ' PAReELN E1 taps
PHONE
OWNER 'MOM/ ScIAIVJLa a4-262 A •00p4
a ADDRESS gin ActuM sat Back.In FMt 1 9 6 3 f
c0NTRAc o mE • PX-024E�.10(e Nonn Size of P,r0.1 ISM. Ian.cla..mt.51 IWM 03--02—$11 .N, .
try. EkOix �nc• Type G«50.0006572
4. ADDRESS pp ��7 1 Q.
Zone
germkl.ree f 6 4 7 Q +,:{�
b a704 �.11rct o 6tO) z�D -sir oyes 0No 0 Rea, *.ff*TfOrertrwr,t ire
DESIGNER PM V......n BultelnS Area In Sp.Ft.
6' ADDRESS ZIP Main Flow UMW Floor. Oaten Area t Stor.aa " ,q
CNRNDE OF USE PROM TO Area of Da0WFInIMMI aMant M.S.M0M)
c -
I NomLAM
M.
Stories NRooms ro.of Ow.HM Io
TVP` 0 NEW - 0 ALT. 0 ADN. 0 RPL. 0 M no.San.
• OF WOPLOW0 SLD. 0 PLM ❑MECH. CI M.H. 0 POOL OTHER CERTIFICATE R.p.d. Roc d, ryot R9'd.
of
OIECRIttWv-yg�1�pN�p'/^/� 010m.DIal. TIL.'''.101001
a `.R„*vs%t+�� CJt.� FEES COLLECTED
VALUATION SOURCE GAS (EyL TRIC WATER NEWER Own.an P USE CODE
9. UTILITIES
v_C_i TIES Public r Derivate 0 Single S r'
I hereby certify that I have read and examined this application and have read the"NIITI['1' pinyISlpin included
reverseon side,and know the same to be1 and correct All provisions lay,ons of laii r r rtes governing this Buildirp
type of work will be complied with whether specified herelo or t.The granting r t does not presume r
to give authority to violate or cancel the provisions of any other stale or local law I construction or the 1 ,0_
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing M a'A..#
DATE OF APPLICATION Q' -QI SIGNATURE OF APPLICANT M p�_ Mesh.
Tp,,11,(`�7 t4_0 ' }^
SPECIAL APPROVALS SPECIAL CONDITIONS: T
NAME DATE Plan Check I
+Ir
Sat.I,I.elta ....
"TWIT""^�n'I.«
SEPA
FI,TrRIi!'T"'
1e�TT RTEarr- --- Mobile Nem. . •
Cb.Ewen.., Other ISPeeifyl
Anm•r TOTAL S 14.0
b
n.i
much!uhr ureic ver rnnern IN THIS cvaf•nL_