1982, 05-03 Permit: 81A-3963 Inspect r"--= Y
41
INSPECTION RECORD
OWNER LOCATION
f
CONTRACTOR TYPE OF WORK
NSEW FINAL INSPECTION:
SET BACKS
DATE REMARKS: 1 /j
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PLAn NUMBER - —
APPLICATION/PERMIT PERMIT P7MBER s
SPOKANE COUNTY BUILDING CODES DEPARTMENT 18IA 31 3 1
NORTN III JR C e[asoN/spoKANEr wASNINGTON 99200 11506)456.3515
..1PLICANT: CON 1UMBERED SPACES--PR6S5 I ',I;U TO I,Eq;o6.1 60). a
109 ADDRESS .v'''' '' ' .•..•"...
,t_ s.1520 SkipWO�
YTH P-I3 D LEGAL DESCRIPTION—SEE ATTACHED
- '
LUT I el_uLA IsueulVurD .17 O N
PAP CEL NUMBER,
OWNER
PHONE '1 7 000
a ARI. LL_ S- JOHNSON 92v-o7?D • 77 ^
ADDRESS
ZIP
-Si 1510 SKIPWORTH R.ol0 PHONE A<rua ser emir,'sou n Iw
CONTRACTOR
to
4. AD
TEu.16 s:.or Pace ne c..nn.ton ,r,-,7_E.I
DRESs
ZIP Type Const 64'o
DESIGNER • I occupancy SpriAwe. ❑Nook q.a
PHONE Veuato
6 ADDRESS rr 9 Area In sa.Ft.
ZIP Main MAFACJ'-I floe..Foe,. Garage Area I^ Storage
CHANCE OP USE FROM ITO I n awment
& Are.or Oecke I E n ansa Beaemem I u n e
TVPE 10 w 0 ALT. ❑A 0 RPL. ❑M
No.Baths I No. R .
7. OP DN. VE. �OTMER n o.Rooms .o/Owel 9a
WOR., O OLD. 0 PLAID. UIOECC. ❑M.H. 0 POOL CERTIFICATE a9 a. I 0.1 eo IN o+aaP e
D ECRIRE WORK ows (�/ E^om EXEMPTION an
& '''}}}ppp r LE vuo G 'Location(Areal FEES COLLECTED
a VAt (pEei� nOl CTRIC WATER SEWER ole Use CODE
VTKITIq OW 0c•p Prwate a
I O �"
I hereby car Mgthat I have read and ekamlllad this application pal a Single s
101 i.
r
strip
e and know the s me to ba purr anti correct.Al)urov s o rll tl N " nr rl
typeotwu k will be comp)ed With whether.pec f ed herein o T I IIII Builein9
to g a give lthprlty to violate o cancel the provis or s of any 0th, Aar or I r:al law
performance f construct SEE REVERSE SIDE FOR REQUIRED INSPECTIO
J '] Plumbing
GATE O PP TION / / SIGNATURE OF '
AN
MxM1. �7..
SPECIAL.ry gOyALt SPECIAL CONDITIONS.
NAME DATE
Eil;. ea 1 Plan Chock
Atem+ina SEPA
AN •
• .e a •
Mobile Rome
ie. g nee, •
G1 oar i_.,.yl 4/0.y
ee0
TOTAL S 17 ow
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