1982, 03-22 Permit: 81A-9248 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
�) /C 2 ,/;(A:/
5' /4- /: 727,0a )
I%.AX NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE, WASHINGTON 99260 / 15091 456-3675
APPLICANT: COMPLETE NUMBERED SPA( LS
JOB ADDRESS
t.Goo SAI
LOT LDDK �SDBD� Da
2.
OWNER
' GO06 E c.
Ctacrl e.
FAC/C-.
LEGAL DESCRIPTION — SEE ATTACHED
'Cow. cS
PHONE
�sw�2ot3
PARCEL NUMBER'S i"tEeaTM .NC1LCLL IGo rot
�RELv- C`2. co r• [Irl ALL LOf 1... L..
5.g4O NI rJ.\
CONTRACTOR
4'
ADDRESS
SMIMEE
ZIP
GAS G
Actual
.t Backs In Feet
Norto To 'boom Io Last 70 IW
PnONE
sus of "{ZcSs`M.tl
on
ot Us;r..0
ZIP
TypoCoon.X f„ -t n v
❑v.s Dos k10 087.3.
DESIGNER
5' ADORE.Main
PHONE
ZIP
CHANGE OF USE FROM
6.
TYPE
], OP
WORK
DESCRIBE WORK
L1,0GION IIdoTl°171[3 OAS I ELECTRIC
TO
.,pk� r Upper Floors Bova, s° .n SA. F�
Ar.. of 0.ck. rFInDO.2 Ba� UHII0. Gammen(
eh/FM 0 ALT. 0 AWN, 0 RP, 0 IEEE.
hDeBLo. 0 PLMB. 0 MECH. 0 M.H.
0 POOL 0 OTHER
No. eatK
No.tSt0HM No.tR0om. r0 71 00.nlnp.
1
CERTIFICATE
1 EXEMPTION
Ct4A.1.0)
WATER
Enum. 010.
LOGGIon IA7..)
SEWER
,3Wrt(_
706111 rMlp
c GRIMI. E7'
USE CODE
'hereby cantly that 11200 r 00,1 not isoftk/ •01,
on revers. tl k:lnW the I20e 1„ h,1 i. and
1
type 01 Work .11 Ike nd 10 wh.., ,nl sl��ic11, 2.1 n
to give authority I, !!ILII nl
performance of eonslru,.Ier , SEE REVERSI SIDE 110)1 IIECII 111
GATE OF APPLICATION
SPECIAL APPROVALS SPECIAL CONDITIONS:
nv
AME DATE //7)
ifi Mi.,noI
Bio i A-tt4`-Q
ror1
FEES COLLECTED
5' SI $
Building
Plumbing
Mach,
PN0 01ock
5E0*
Mobil. Homo
Other (Specify)
TOTAL S' 2.g. OW
PERMIT NUMEER`�_. ,. t
®IR '412.437
02* •2900'-�
•2900. i(.
928741
09-1T-8,1 ,. •'
6679