1981, 10-27 Permit: 81B-487 Inspect •
INSPECTION RECORD
OWNER - LOCATION
CONTRACTOR TYPE OF WORK TT
NSEW FINAL INSPECTION: /0't2.7-f( �`;
SET BACKS
DATE REMARKS:
/0-‘27.-V ��i l s -�.s 0a-c77-01. )
R --..• PERMIT NUMPEq T.-
COESDAPPLICATION/PERMIT $ �1« 7c,,
SPOKANE COUNTY—BUILDING CODES DEPARTMENT ,� •
NORTH CII JEFFERSON/SPOKANE,WASHINGTON 99360/15091 0.361S �+ 4
i
•
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO Iv1AY.E 3 COP'C`: -
MOO ADDBESSl'°
pLEGAL DESCRIPTION-SEE ATTACHED 010 •1 400 61
I' � I e/LO K/ s
INUZO VI •6an�/ Ar
PARCEL NUMB'Rh
+1 A00C
OWNER PHONE A •000 L'.
,a L NESS I. mop A.// fft1-we/fr
AD RESS ZIP ual SM Rafts A Feat 4 a 6 f ,
/Y//7 sig./ /I,e s .,fe..i .79E/L 'SWAP Ia, 'west
.. CONTcrow Slam Parrn Zane amenMten r�0�04-8�1•
%v r/A'+�M msb-/IL HTp /£/...-/— ✓c 9xt-000 T D I
OORESS / OP 01W Conq. MIPmcv Sminxaw ff..
g 099 7/0 i,..-,0,1a.....-A. �v,Ew-•o PHONE/L v I,II vas ono ❑Rape. .x...+'f fh.r'
DESIGNERa u on Building Area In So Ft.
6' ADDRESS ZIP MOO Floe. UP..,Floo arae.Area Stem.
O r 1
CHANGE OF USE PROM TO Ave. 0ea of D. . Pin1.0..Basement Unfln.Basement
rt
y '�'� ❑naw ❑ALT. 0 AD'N. ❑RPL 0 mve. No.Bath. No.Stones No.Room. No.of Dwelling.
• oRK Imo.D. 0 NAM MECH. 0 M.N. ❑POOL 0 OTHER
1wCERTIFICATE Req'.. R.N. plot RN'd. (s.:((p._.)of EDXEMPTIONaI
DESCRIBE WORK /1 s- En Inn. Location(Anal
• .t/l Gr o/ FAD .I*t/� w a /'u-��/c FA,e FEES COLLECTED
^, �AL�A I' N SplaCF oGFyM,7 I ELECTRIC I SEWER pwn. USE CODE
UTILITIES I I IPaellc°Private❑ Single S %
I hereby certify that I have read and examined this application and have rear,lila IJII:If ...
on reverse side,and know the same to be true end correct.All provisions nl laws and 1 lBPading
type of work will'be complied with whether specified herein ornot.The granting 10.,Ir'i.l i.il.r Ili, if
-
AU OM authority to violate or cancel the provisions of any other state or local low inmilaingl ceP.„iii,1,,.
I;performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION /0-7-r/ SIGNATURE OF APPLICANT /! yrs+ Macn. It"C'O
4 APPROVALS SPECIAL CONOITIOWI °Y" Y•`("
sc,SNMt'U'OATS 4.,o. S'�yp..�P7Pr/ L.J PA Planpn k • ,4
SEPA
Ama .:
' to cXnM.r.n.11 Motu!.Home ,a
M
bI,ra1n'aln.., 011ier ISPeslfyl
uJdw. Y•";TOTAL S /