1982, 04-27 Permit: 81A-5323 InspectOrM
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NSE W
SET RACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
,��-1117/
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99260 / 16081 466.3606
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPI ES
JD. JTDDt i08 5,14a�Irt 1,4 c3K•
LEGAL DESCRIPTION— SEEATTACHED
EUEurvwso
774 let, -M ,
13%,514
PARCEL NumeER
'9-0 6
Actual Ser Bac
6:Foe
CON CT
ONE ISI*. of Parcel
zone cr,,,um.uw3r
gra
ZIP
Tvpe Co
Occupancy
ref osox D a e.
IMLONER PHONE 'vnu.uo
AOOBEfis *.. ZIP I M.I0 Ftoo
trope Mors
0/1rAge Area
CNANOE OP AM
&
TO
Pau Of DUNS. I F101000 6..m.nt I Unlln. B.Nm.nt
TVR 1f IIEIY
T' W .0.
WORN Q.
D ALT. D
0 PLJa..,
C
RPL 0 MVS.
0 OTHER
0 POOL
o. Baths I No. Stone I No. Acorns re. of Dw.11inos
CERTIFICATE
of EXEMPTION
rid)
Enum. Dist. Location (AIN)
vALJATIONI so
9.
OAS 1 ELM C" WATER
SEWER
norship
Puellc O Priv.l. 0
USE COD
1 hereby certify that CIIN) wad and examined this application and have read the "NOTICE" pr001s1001 included
On MOORS skis, and Mlene pre sane to be true and COMM. All provisions of laws and or,linances governing th ,
type of work will be Cancelled with whether specified herein or not The granting 01 a nal m't does not presume
o give authority to violate Or cancel the' provisions of any other state or local law reguldln Tor or ,no•
performance of construction. SEE, REVERSE SIDE FOR 11E01.119ED INSPECTIONS
APPLICANSFSCr�s'serre Alar'.rc�+'
DATE OF APPLICATION
SIGNATURE OF
SPECIAL APPIIQVIEI.S
NAME ' DATE
IA
Inoor
0,11)1).,
SPECIAL CONDITIONS:
FEES COLLECTED
S 91 S
Rodding
PlurnIzn9
10,
Plan Chock
SEPA
Mobile Home
Other ISe.ciryl
IQ
• 1 P.00
•1000 0
.19000
•000
6-01-81
6,179