1981, 03-10 Permit: 81A-2056 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS: c-•
kA,Vd
7 tp
NUMe[R APPLICATION/PERMIT -" ' E"
SPOKANE COUNTY—BUILDING CODES DEPARTMENT M mak B�� i
NORTH B11 JEFFERSON/SPOKANE,WASHINGTON 992E0/15091 ae&Sale ov
sAPPLICANT: COMPLETE NUMBERED SPACES–PRESS HARD TO MAKE 3 COPIES
i
�w 0It• •1TOO -
�se� �5�* � LEGAL DESCRIPTION–SEE ATTACHED
r. pwOyElp,/,7�, u.or�l�.6ff ,�-•-`-e�.� PARCEL NUMBER/5
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7�+�/ S9
0
3–•O
1 TOO 5
YAL4i17V' l – A •0008.,S raSto4 Actual s Beeks M P.M99�oE iswsn Iao" 20551
ONE al or Par. Mane
i 'w3-/a/7rY Const. oe0ncv SPrinkWae ''!"r66
enS ��""-" .20 �b�; ❑NSP ❑ww•e. ., .PHONE „aluaen .
Arm ln Se.Fl.
S' ADDRESS ZIP Main Floor Upper Floors area.Ara. Stories
CHANGE OF USE PROM TO Ara.of Clacks FInIsned Basement Unfln.Baterne
& T KNo.Baths No.Stories No.Rooms No.of Owelllnat
D NEW ❑ALT. 0 ❑RPL 0 MVE.
' wFRR 0 OLD. 0 PLMe. wecw. 0 M.H. 0 POOL 0 OTHER CERTIFICATE Rea'd. Rer'd. Trot Rp'd.
e/EXEMPTIONEs �T W� [num.OIt. ouHon tArMl
a
\ a! / FEES COLLECTED
CE•!�AS RIC WATER SEWER Ow noNPIp USE CODE C
g. ON TUT LITIEs Public❑PrIsat•D
Single -
I hereby certify that I have read end examined[his application and have reed the"NOTICE"provisions included •
on
side,and know the lame to be true and correct.All provision of laws and ordinances governing this Bv11Eke
typreverse
owork will be complied with whether specified herein or not.The granting of a permit doge not presume /
to give euthoeity'to violate or cancel the provisions of env other state or local law regulating construction or the E�1
performance of coeetntcdon.SEE REVERSE SIDE FOR REQUIRED INSPECTIO // /�,y Plumbing �J G///
GATE OF APPLICAT ON O/SIGNATURE OF APPLICANT ' `^ -PSS-44.-F"� M«h. //r •t
SPECIAL APPROVALS SPECIAL CONDITIONS:
.NMI 'p/1T[
Plan Chalk
SEPA
t � Mobilo Nome 1
MEN ISPacifYl
A /�
or TOTAL S //