1981, 11-16 Permit: 81A-8043 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
C(—( �-- c �,.�, � 164 0tit)--a>4 —4C
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P1�Aft NUMBER APPLICATION/PERMIT PERMIT HUMIE
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l SPOKANE COUNTY-BUILDING CODES DEPARTMENT Bin �3 r
NORTO ell 46e PERSON
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD 13 MAKE 3 COPIES
AB ADDRESS
t, S. 42;Z'O 6a.Rforo.[a.wfvp LEGAL DESCRIPTION—SEE ATTACHED h i. •5 0 0
LOf BLOCK SUBDIVISION PARCEL NUMRER/S •500 I
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OWNER PHONE 050011
3 1.11Q•Ineri W. U.e><ew 5000 I
ADDRESS ZIP Ac u.l 5.1 Rohl In rml
S. 421.3 7L0415We.L.wO R4zd r Lou.. I„t Loa 03 h e
CONTRACTOR PHONE OlePt ParN1 Zona Gl.f.Itlallan
n. cor-e W Adr �Je1.DAet 08-12-8 1
ODE.ZS -NRD OtPP� YP^ vvR. vauv.nq ❑Vm ❑Nan❑R.a'd. 6079. ••
Oulidlny Araa In Sp.FL
.B. ADORERS ZIP Ma.Floor Um Fen stem R.ee Sera..
COONS.OP USE PROM TO Arm of mei. FInIN.d 0.um.nf Un00.Nauman)
a
TYPE NEW 0 AL•
T .A NO.R.1n. I NO.510110 NO.Naomi r..of 0001100
. .P ADM. ❑RPL ❑AVE.
T woo, CI OLD. at PL . ❑MECH. 0 M.N. 0 POOL LI OTHER CERTIFICATE (R.P'tl. I Raca. �ip
01R 'g.
M EXEMPTION I I
bt.3Rlal wohw .num, r""`"'fOruf FM COLLECTED •
VALUATION 1A1oteR. 1- owl's tueretc wwraw aawaR owrnnNP use cope
9. UTILITIES PUblle OPrivate❑ broil. E
a 1 hereby certify that I have read and examined this application and have read the NfIl I.Irrrvrni Included
sears,on U
side,and know the same to be true and correct.All provisions of laws and r r•>govr�rnirrg this ing E
Build
type ofwork will be complied With Whether specified heroin or not.The granting or a ps i nr'.I does not pi e>unr1,1
to give authority to violate or cancel the provisions of any other state or meal law nr the 45,00
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS •
Numbing
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DATE OF APPLICATION --SIGNATURE DF APPLICONI _._ .. Mod,
SPECIAL APPROVALS SPECIAL CONDITION!:
NAME DATE Plan Chock
Env.Health
SOPA
�oe Marshall Mobile Heme
OtMr IPgaeiHl
latlinl.s
TOTAL $S•efef
OWN Eh.minN
_._......._.raLisflrACioNL VALIDA I ED IN 111l5_VOCE.
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