1981, 06-11 Permit: 81A-963 Inspect rr-
•
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
/,
- 7-
. )i
_
APPLICATION/PERMIT F DMee"!{. .
�IILIW num. � t A—d/� ✓ l
Ill SPOKANE COUNTY-BUILDING CODES DEPARTMENT •
091 450-31376
• APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES0 z e .1300 +g� _
Jos w 1 10 LEGAL DESCRIPTION—SEE ATTACHED ,1 3 0 0 ern
1! g`S1O5y I( PARCEL NUMBERS
LOT ewcllllkllll usDlwsloN- I `%�`�
'2 2.-I 2- I akin-� J AC:'11iA j E c1-27—af
ODReSB VI" ri-I �� North =`t Ames
.`tSaet•� 1 e.t 'Meal
CONIyIR ZIONE Sim of Parcel Zan•CMulllutien
4. ! \(I VW ADORES eons,. occupancy tee q
I O u an a Claes ❑ o ❑
ESIGN[R vNONE
Valuation nein In Se.Ft.e
p
6' ADDRESS ZIP Mein Floor I Upper Floors Gama.Arm I Steres•
CHANGE OF USE FROM ITO Area of Decks I Flnl.nea Refitment I Untie.Besem•nt
1L No.Barn. I No.Stories I No.Rooms of Dwamnoe
'PE Ew 1,1:41-_.T... ❑AD'N. ❑RPL. ❑MVS. THEA Reg,
7. ❑O CERTIFICATERoc a. Jot Rp'E.
WORK ❑aLD. ❑M[CN. ❑M.N. ❑POOL of EXEMPTION
& OnCIf fRnI 1 ( v),Z1
EM1 ouILuaAul FEES COLLECTED n
VAWATID SOURCE
I OAS i !<TR � WATER I SEWER P IUSE CODE
9. UTILTIESAnnie Dyne..OSingle S
I hereby car Illy that I have read and examined this application and have read the NOTICE"provisions included
reverseon
side,and know the same to be true and Correct.All ploy isions all laws and.ndinpinces governing ihiS ...,,,,n.o
type ofwork will be complied wiUr whether specified herein ur not.The granting 01 a peimii does not presume �.�,
to give authority to violate or Cancel the provisipns at any other state Al local law regularn Pl.' ri onstructioor the Plumbing 12
performance of construction,SEE REVERSE SIDE FOR REQUIRED INSPECTIONS ]
I),I),I F OF APPLICATION
D!—f'2-1---
—t/ SIGNATURE OP APPLiLA A JV '• °ts-- M•EI,
SPECIAL APPROVALS SPECIAL CONDITIONS: Man Cheek
e NAME OATS ^ s"kliy
/� BEPA
R • Mobile Ham•
.n ni Other IpeaRrl I
... TOTAL_—E I ____ _._. __ _.._ -.. -