1981, 05-05 Permit: 80-3724 Inspect-
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
c/7-* ,_o
rLAN NUMRER
APPLIGIATION/PERMIT
SPOKANE COUNTY - UILDING CODES DEPARTMENT: -
NORTH 811 JEFFERSON / BPOR`ANE, WASHINGTON 092E0 / 1608/ 460.8818
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
ADDRESS //1I,•
p'
ILCA
I
1• 72411.1—, eafighrb,
AGGRESS
_Jr! 4' 4.47 �,La ( re&. J .Ei
CONTRACTOR
faA •AILS'
DESIGNER N,
5. ADDRESS ,
I 0. "Hsi
.Y
LEGAL DESCRIPTION — SEE ATTACHED '
PHONE
4z6—S/0.
ZIP
f9?aL
ONE
0044)0006445/0.i.O5.83—O/ZJ{'
4.47/# M W Z 4.orI3 3LK
SIESTA MO01LI1 PARK ADX
Aaoa sae . a ..t
Nartn.68/ IEWm.XJ a.t /.Lr I,
ZIP
SR. el Paul z . Classification
qSx isT0/ u.mli�aGi� IL•lul
• ❑vas ONo O Rw•E.
yp. Con.. Occ
PHONE
ZIP
SWAM. Ara Irl So. Fl.
1 3n/oO0 !Upper Floors ograpsAria Storms
,,34
Ara or Dees Plnlrhed a men MIn j sm.nt
ion
TYPE
' WORN
❑ HEW 0 ALT. AD'N. 0 RPL 0 NYE.
❑ SLD. 0 PLMS. 0 MECH. 0 MK 0 POOL
0 OTHER
No. Seth.
No. 8tala I No. Room. 05. of Dwelllit .
Roo a. I 8.c E. rl t Roo,.
I x
CERTIFICATE
of EXEMPTION
E WORN
• AL A lop Bounce
9.
Enum. Dist.
Location (Areal
UTILITIES
GA
I`'ELeCTRIC r 4d
ATER
sEwER
ownorsolo
PP011c ElPrism. R
USE CODE
I hereby certify 1 have read and examined this application and have read the "NOTICE" provisions included
on verse side, the same to be true and correct. All provisions of laws and ordinances governing this
type of work sal pINd with whether specified herein or not. The granting of a permit dog of presume
r' to glee authority latdbr cancel the provisions Dt any other state or local law re. I. ting c syr st ucon or the
yartormance of c LSE5 REVERSE SIDE FOR REQUIRED INSPECTION
$1$111/k
h Aft"/ ii— 96 SIGNATURE OF APPLICANT
DAYO Of APPLICATION
-1XCaill. APMOVALS SPECIAL CONDITIONS:
NAME DATE
1.—
Mas
4SM•a E..
54430 cn.w or
•
FEES COLLECTED
S'rgl $
stir
Buikllrg 38>�
Plumbing
Mach.
Plan Check
SEPA
Mobile Hama
Other 1Speolfvl
TOTAL 8 r3peit-
PERWT NUMBS
)» / Cf
/") v 1. l.+
PA
WHEN MA',HINE VALIDA.TED IN THIS SPACE.
THIS BECOMES A PERMIT.