1981, 02-10 Permit: 80B-4636 Inspect T
INSPECTION RECORD
OWNE'
LOCATION
CONTRACTOR TYPE OF WORK /
N S E W FINAL INSPECTION: f/, I
ET BACKS
DATE REMARKS:
. •� . __ _
r„UMBER APPLICATION/PERMIT /� PERMIT NUMBER RoJ2,/
SPOKANE COUNTY—BUILDING CODES DEPARTMENT r I Sas-�b,G
NORTH B11 JEFFERSON/SPOKANE,wASHINOTON 89260/160914663616 •
APPLICANT: COMPLETE NUMBERED SPACES—PRESS I I�ARD TO MAKE 3 COPIES
o/�RD3�on..ETTss ,1; .�.Q,, /��(�103• •300 .
4�'ECO[�f�'JI1� r�'d't ✓7`{ 1PARCELENUN DESCRIPTION-SEE ATTACHED .300 AKIIINMBERh •3006
R q{NEµR � PHONE II '000 8
aT7iM.�%� 7{`O�ad ttP 9'.z&-89se2 AEtti.l Set a P« ..
�.//3is 136,e.d. SI,1/;ADDRESSE ZIP
9•�6 N..tl, ..khak 1 L. 12-09-80
ter, R//``CTO^R, �I // -- HON SIE•el Parte/ zoo. ussincatlon
A 4 "�LI4/1'N[l c.4...,
.4 5 4567 9O.5 8 6.5 7 0.
4. JJ Try C... 0.01..0 Sermklaree
• F E2 SER 3.�eQ —4 pel/b u. 99De2s2 NE Ones
Dean CII Rao,
p e. ...lawa,N{
S' ADDRESS ZIP rosin Floor wear Floors Oara9•Arm StomM
CHANGE OF USE FROM ITO Area or Oacke FIn1YIW B.«nrent Unlln.SM.eO.nl
a Tv.. No.monI No.storla No.Room INo.0 DwNlln.r
0 NEW 0 ALT. 0 AD'H. 0 RPL 0 SIVE. O OTHER
7. OF WORCERTIFICATE Rased. Rim 4. {Not R«'6.
N 0 SLD, m FLAW ❑MECH. 0 M.H. ❑POOL
M EXEMPTION
TIE ���J'^��T/Z�l�F� '��)it Intim.Dial. Location IArml PEES COLLECTEDI a. I \J�
v pAE 0 EO GAS ELECTRIC WATER SEWER OwnaNnlP USE CODE " `r .'
!• UTILLIIIIITIES RAMIE 0PH..D SINN 1 T K
I hereby certify that I have reed and examined this application and have read the"NOT ICE" included
On rINeraa
side,end know the same to be true and coilect All provisions of laws and orrliKirirES governing till BuiMIIp
type ofwork will be compiled with whether specified herein or riot.The granting of a poi.,. ,hies not presume
t0 give authority to violate or cancel the provisions of any other state or local law lson lel 1r,o.o,ustruction or the. f3 0.
performenca Al construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS PlumnIn9
DATE OF APPLICATION/2-9-RD __SIuNAI URE OF APPLIt,ANT _ -.__ Mach.
EIECIAL APPROVALS EIECIAL CONDITIONS:
NAME DATE Plan Check
Pig NUP N a►cs.,.. SPA
—,.. i
11,IMllarMail Mobile Noma
Ce.E«In«r . Other IDp•cify1
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