1981, 09-28 Permit: Q81A-9815 Inspect r
A
h INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSF W FINAL INSPECTION: 1 g s4
SET BACKS
DATE REMARKS:
g am/ & " ` osY cG
PLANNUMBEP APPLICATION/PERMIT PERMIT NUMBER
• � •
• SPOKANE COUNTY—BUILDING CODES DEPARTMENT SIR-Q81S
NORTH ell JEFFERSON 7 SPOKA WASHINGTON 99260 i I5061 456.3675
APPIJCSINT: CONI' /ENI Mlol::k 1:5PTI 1.
JOB ADDRESS
LEGAL DESCRIPTION—SEE ATTACHED
C4• •1200 1
' I. V-IL�t 1'' �n 0oad *1 200 G,
LOT S 510 PARCEL NUMBER'S
2. •12008
OWNER PHONE
s: a.Ben Pe ens k •000 8 '..
ADDRESS P RadSetaa x 4
Feet o P 1.
324 17i2,hman Road 99206 Louth1w.s
CONTRACTOR v.aofParael naaasPPvlIdn 09-25-81 o ii
.
4. ADOREPEwen,e.Inrorponated 535-7714 ZIP
Type Const. xi
. oaruP,ns. 2 6479 •
East 6507 Ma.LLon Avenue 99206 Eves Ono Recce.
ER
luation BulNIug Area in
1 5* ADDRESS ZIP rvE Mein Floor upper Floors ,ape Area a Storage
CHANGE OF USE FROM PTO Area of Dec s Finished Basement UN..Basement
Q
No.Baths No.Stories No.Rooms No.of Dweihngs
TYPE 0 NEW 0 ALT. 0 WOW. 0 RPL 0 RIVE.
7
WORN, 0 OLD. 0 ELME. GI MECH. 0 M.H. 0 POOL 0 OTHER CERTIFICATE Read. Roc a. Boot Rao d.
of EXEMPTION
DESCRIBE WORE 6 connect to peeei ntenIm.DIP. Location lA,•H FEES COLLECTED
6
fALOAT If
i Nof, OX V 21Ai .ez p pn b�k AaNBP.•
...
etEirnm WATEp' 3 6 a •
P o n P USE CODE
B T I
&T
E ❑Prvate 0 Single §it
(.1,III116
II .IV II II .II I li'
Q.
, on reverse‘itler d k i to i.i . 1ml I: Building
type 1 work oirli1 11 ml with 1i.,. mimiimil - •
to give authmily to violaterel iiii ii.. .,,,r,,0, I..
peiformanou 0i COMIlitutitill SEE NEVI IIII! IJE FON[UI:!!:! DINS:ill 1:05 Plumbing
Mech. --S..-0.0_
P; SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Nen Check
SEPA INa
.r .
---.--- 45 6t. - 111 goo piping Mobile Home
—M — _. Penm-it I
Other(Specify/ 1 0.00
t win examiner ---- �� TOTAL § 1k.00