1981, 10-05 Permit: 81B-0190 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK `
N S E W FINAL INSPECTION: ti=3 -59-
SET
j
BACKS
r_
DATE
� - REMARKS:
,L"-=�
SPOKANE COUNTY —.BUILDING CODES DEPARTMENT Ll .
NORTH .tf JEFFERSON / SPOKANE wgsH N g'ON 99360 / 15091.563618 �1y
APPLICANT: COMPLETE NUMBERED SPACES - PRE4S IIAHD 10 MAKE 3 U PIIS 1 "1
-'JOS ADDR
LEGAL DESCRIPTION — SEE ATTACHED •.� it' y
3'FIRCEL NUM.ER/S 042.. •1`ti O'O;jY;,
ONN/. • f aot
a 2 DNE 3Z7 :. t g4
vii
ADDaEss e IP wa. sa R .D A
WNTRACFVR I.A 1 _ . PfiQr'E • — n e or Parcef ne C aulRMnon 1 a O ,: t - [.
ADDRI.S --i� -- --- ,gym vOe Cont coup. cY SprfnM.rMq
10 024.0
MI ... I PHONE uat on 0 np rea fn q, fl. U
I. as Q
6• AODRESSP afn F oor pwr Floo a 1. Are I——
3
CNANOE OF `ISE FROM TO Area or pocks n sneO Baseme Unf n. Bewmm`
s
yyl,,,, ❑NEN �,� No. of -111...
No. Bala, No 9tarfe o Roomrrr"'
3F"TYP! •LI qLT. O qpl, Cl MVE
❑OTHER
7. O ❑ eLD. ❑ FL... H. O M,H. ❑ PD .q a. .c a. l Aw
CERTIFICATE R o
h
WORK
of EXEMPT ON
V lI!
h. ulwn lAreal
FEES COLLECTED
Go ji6num.
.3
V L ATION 80OOF O.AS/ l-ECTRIC WATE
SE n p SE CODE
.TIL TIE y
caO Pr rate❑
Single $
1 h.Eby cart ly that I hevI Iead Slid .d th I I h d I � . 1 f JC i
On !Eyes. title and know thr tem t t t, .1111 t All I f l
Bull6inp
rh
of work w'll he con h c] with h 1 . r I u 1
nw p hP r u, n
`o gh" SUthoIffy u, v Dial¢ m cancel the Rrov'S'nnc of any tithe I al ,iuv
i
perfor :E of ConttrUCh1I, SEE REVERSE SIDE FOR REOUIREU INSPECTION
Plumhlnp
r DATE OF APPLICATION 1_{ S ONATURE OF - f L (.�.V f _ �W�VI,M+S(JCf
Mxh.
��OIRL ANIIOVAD^I
N/DIAL DONDITION8, uH�
!
FOR CAS APPLIANCES
11
Plan Check
PIPE SIZES
f
PIPE LENGTHS 2.Z
SEPA
Mpml. Nom.
BTUS /00000 ,c
Z
Omer 1SPcuy1
z
tip n..r
TOTAL I %