1981, 05-22 Permit: 81A-4926 Inspect INSPECTION RECORD
OWNER2/ LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION: `� 'v1�2 1 7i'1
SET BACKS
DATE REMARKS:
li_p1 -Si <rjiti %,hd,i 2
NuwER• APPLICATION/PERMIT �°rrNUMn4 y�
SPOKANE COUNTY—BUILDING CODES DEPARTMENT
HORTli 011 JEFFERSON/SPOKANE,WASHINGTON 99 p/16091456.3016
APPLICANT: COMPLETE NUMBERED SPACES PRES.,HARD 10 l.1.ARP t Ci
e 1600
JOG ADDRESS• LEGAL DESCRIPTION-SEE ATTACHED 4.1 A n C
-LOT LDD ',.,1,12., PARCEL NUMBER/6 '41600 2.
OWNER
ERREPHONE
SS O
NE
- •600
aAdj.S. DIN & SoHNgDN yaZ-7 ° ° Aetna!9.e• mF.H
S AA L lso°m !west
CONTRALTA NE sae or Parcel °tie CI...rat on
a Nof?Co NIP AT/iv 6- c o .(3Y-Y774
2 Type D 4P.ecr 9 rnkI.5d
.0 10 5 1 L t IT F1(Tvr6 r o b Oyes ON .e
o O Rea .
DESIGNER. Valuation Building Area In Sq.FT.
5.'ADDRESS ZIP Mab Floor UM Floor, Garage Aro Storage
RANGE OF USE FROM TO Area of Deck is,ed easement Unnn.Basement
TVPE ,�y](�� s Ne.Stories No.Roams No.01 Dwellings
$NEW O ALT. ❑ADM. EJYiPL OWE. Li OTHER Na.Ne.Baths
7. OF 0 BED. 0 PLAID. I MECH. 0 M.R. O POOL CERTIFICATE Reg e. Rac'°. r°Rert d.
I
WORN of EXEMPTION
I ///``` n
p •
[/�)/�:�E�TW�-'O`�R�Nt. r. . .42— °"tnraaf FEES COLLECTED ( �V\
& V tOAT10N gpURCE GAS ELECTRIC WATER SEWER E"u niv 3 t. OUSE CODE
`/]lTr' •
B. UTIIITIEs X Public sO Private O
Single S
I hereby certify that I have read and examined this application and have•earl thi''I." ' •,'r. ...- cid h.. .•
on reverse side,and know the same to be true and correct.All provisions it law•:cv. 9,.3•-32.'
Building
type of work will be complied with whether specified herein u .
Ifln'nrxl.I
nnl.'I "•
mho you authority to violate or cancel the provisions of any hcl sla a r•.inial I,n.. I . " '
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS n Plumbing
DATE OF APPLICATION— �L./_/./��SICNATURL IF i:I'Pi n'nN}1)(/P/eXie..Z2 M.', ,4
SPECIAL APPROVALS SPECIAL CONDITIONS: Plan Check
NAME DATE �J �y'
Fn.115111. ".:$:.'.' ��,. .. /1/Ce /�N".I �.>-tea e-�
4.
ad C/ 1/VrV{ - (�JAIOLI2 R7M btu) BEPA
TalMarrtha° •
Mobile Herne
G Engine.. Other lsvecirvl
1 I
1 NOShnimam • TOTAL $
ana Examiner 'r • • __ ,_, ,, ,,..
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