1981, 10-20 Permit: 81B-319 Inspect T
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
f
f111111.,
etNWNVMBER I APPLICATION/PERMIT
— SPOKANE COUNTY—BUILDING CODES DEPARTMENT 1 A
I NORTH of 1 JEFFERSON/SPOKANE,WASHINGTON 09280/1E091 AS6.0875 e
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HMI M;U'ccnn 5l 1 e' i • '
1. Fd£D/..s010DIVt3:2-/the`e LEGAL DESCRIPTION-SEE ATTACHED 04• &o�O..r.
MARA( Elen PARCEL NUMBER/1 '
OWNER PHONE e 1 ii.0 ott7,1
PI .006 a
ADORE. 'rg,a/a usel Oar...,,
0/.l S-]d SWit,Sf, 5,,,,.• r 9 qrp la..en•M Iwo.r 31.81
OR
IIIPHONE
* A AlaTRACi:. LPNAA 5.. t/Ty Y f�rt /C 41 f'A/uO $1
Type Cana. De..wner n.er.wn�nan 1 p-1.
A DAESS 7 SF.In .r.a ,•M
Fi/1.7 IO /.^✓tour ipz,/Cs-P 91A/G Ova Ono0 Retro. n•
DESIGNER PHONE Valuation Bunning Area I.St.Ft. �� .
E• ADDRESS ZIP Mar.Floor UDP.,Fleets Oar..Ara. Ste.ana . •X..
& CHOOSE OF USE FROM Ino AIM et Outs FIEI.IN .ramant I Untln.eaMment t sJ',Mr
TYPE 0 nay,. ❑,LT. 0 qD'N. D PPL. O?AVE no.Eam. NO,aortal JI NO M
ROO . re,of Owsninal
7, or
1•001.
, OTHER
WORK 0 RLS. O PLv,S. O macro. O M.n. O 1•001. CERTIFICATE I ...ea.e. Rae e. Net Rw'e.
Sr EXEMPTION I 1
OSSCRIOE WORK Room.OKI. Leeat en fAreal FEESCOLLECTEO 'l.F
a/A s1+/LMT`/r aplefen s..- Gas F .r o.i
VALUATION SOURCE RA ELECTRIC WATER SOWER OwnarmlP USE COOS
O. I°:ES ,.n.❑',Nate 0 P
I hereby certify that)I have read and ene rrr rr d this appl c f . 1 H- F Sinpla E .)Fs.
.'`
on reverse side,and know the same tri be tine and Correct Al' b. f . !'y' :'�
.-..type of work will be complied with whetlhn specified he Th 1 .. auiging H t
to give authority to violate or cancel the cat:vis ons of airy nthr I rte ca local ne r 1 T w✓".'
Performance of construction.SEE REVERSE SIDE FOR BEMIRED INSPECTIIOON),. Plumbing
DATE OF APPLICATION (E„_..�-gI. ._ ...—SII;NAT(JAI OF AI'Plt'.'.Nn rZ Mach .41 a!/
SPECIAL APPROVALS SPECIAL CONDITIONS: .4:019A Sr 6,61 .6' is"
NAME DATE I� Plan CM1Esh
lbw.Health 4 r Sarre r 4f� ,feo. e.4 "{ f 1 $„
Renin SEPA /IF'W''•,y
/' \ Mobile Hama
1,:Inger OtM lSpomfyl /CS .f,
TOTAL S /4P;4..�.�
-- 1 r i,411