1981, 04-15 Permit: 81A-3553 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NS E W
TYPE O 1M0
FINAL INSPECTION: f;V ��i rc �/ ')
,4;
SET RACKS ��-
DATE REMARKS: /
�1l/�� 71.01 h d/ G /t / t1.e lyt 1
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON / SPOKANE, WASHINGTON 90200 / 18881 45.387E
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
AMUSE
a OT CR lase
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ll
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2 1
DWNER f IARI T;AiJ Q CI�
*DORM
(A.VWe
LEGAL DESCRIPTION — SEE ATTACHED
PARCELNOMBER/S
12"4-z,v4
IIP A ue1,K Esc. In, -rt
rgorir ISMate an Iwen
CONTRACT�•�l 4 -WI ._14aY`J�)[:/iLt4'4 DRfi.:M
DESIGN.LN
r�
ADDRESS
PHONE
41d4--44)-1
sRe m Parisi hone Classification
zgq
TYpe Conn.
OcuMnq
sormaerso
Dees ono 0 Read.
PHONE
Valuation IBUIICII. Area In Se. Ft.
ZIP
e.
CANGE OF U50 FROMO
H
TYPE
7. OF
WORN
ain Floor Upper Floor. I Omar. Arm D iln MOmM
MMrm
Area or Dodo Finished nl lamement
D NEW 0 ALT. AD 0 RPL
D OLD. 0 PLMO. MECN. 0 M.N.
Talk. (1roJUP
T R9. gLUASOURCE DrLITrfSI
❑ MVE.
0 OTHER
❑ POOL
CatiNi
VSRI!W YO
ELECTRIC \( I WATER I SEWER
No. Baths ` No. Stam.
No. Room. Imo. et Dvmltr04.
CERTIFICATE nee..
of EXEMPTION
Pec.. rot Reo'a.
.11101.
LP0llen (Area)
OwnerMio
Public 0Private ❑
USE CODE
I hereby certify that I have reed end examined this application and have read the "NOI ICI ilirilinierl
on IMMO 8815, pat know the Senle 10 be true and /tyrant. All provisions 01 laws and ,gnvelning this
type of work will be Complied with whether specified herein O lot. The granting of ,e i t Anes not presurne
I
t0 give authority to violate or cancel the pro of any other state n cal law regolni oristroctioo . rthe
performance of construction.
�SEE
�REVERSE SIDEFOR REQUIRED INSPECTION
DATE OF APPLICATION -3.- 1.a. SIGNATURE OF APPLICANT
SPECIAL APPROVALS
AME DATE
n•
Enelneer
Illltle.
lana E amine.
SPECIAL CONDITIONII
a IE5i g.10 y,v
SII �S�ze
Qir-i • 200 n1
•7a if c,
,
Q l419411 30 '
r
FEES COLLECTED
S el $
Building
Plumbing
Mech.
Plan Check
$EPA
�7.
Mobile Nome
/7'
Om leip.oIO)
TOTAL S
04-14-81