1981, 01-12 Permit: 81A-365 InspectINSPECTION RECORD
OWNER - LOCATION
CONTRACTOR TYPE OF WORK
N S < ; E.. it FINAL INSPECTION:
T BACAS
DATE REMARKS:
11
" APPLICATION/PERMIT
k SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH e1[ JEFFERSON/ SPOKANE, 'ASH INGTON ea3ee / (aa)aa0.Sel6
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JDE wooRrss LEGAL DESCRIPTION — SEE ATTACHED
R
PgpCEI NUMEER/S
"CLW J�lOi FYN-7557
'' ADORpa 9§1216 Allien Sal E ks In FM
In Pat Iwa,
CONTRACTOR `J! SIrE of P—in Zam CIENHIutlon
4..^^.� >455-8050 T.PaConn. 1 0...— 1aadnKl«.e
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LT. s— 13VE. RPL, O M
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13
BLD. Iji LM[. E3MECH. ElM.H. ❑ POOL OTHER CERTIFICATE Rp
at EXEMPTION
e. RECO. 1 Rp'a
• loom. Dln, .anal (Aral
fFES COLLECTED
IL 1 r� Mill
SOURCE OAS ELECTRIC WATER SEWER USE CODE
I, GITIE.S _c.Prt D
BIrgN 9
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
e side, and know the same to be true and correct. All p,ov,s,ons of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
eoilailq
to give authority to violate or camel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
Neel �—
DATE OF APPLICATION
_. SIGNATURE OF APPLICANT — _
Mach.
MIC1AL APPRIIVALS
SPECIAL CONDITIONS:
M NAME DAT[
�yJy�� ya M (yl �'r
Plan Check
SEPA
fill Hans
N
03e *300
*30,0 1 6,
*3000
A R'a 0..0 e
3648
0 1 12-8,1 ..._::
8 6479
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