1981, 05-18 Permit: 81A-4787 Inspect (
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
R
IrL
ANNUMBER I APPLICATION/PERMIT i SPOKANE COUNTY—BUILDING CODES DEPARTMENT LE9��" "BFER T 8
NORTH E11 JEFFERSON/SP.,.HE,WASHINGTON 99260/16001 460 3675
I JOB ADDEss APPLICANT; COMPLETE NUMBERED SPACES PRFs I I,1HU 10 MAKF 3 corse s
R '� L.2�1.. LEGAL DESCRIPTION—SEE ATTACHED -V\tili\yi
C C
2 I PARCEL NUMBER'S ��
OWNER
. _ Y
DUKES 7 ^-117-
s- 119 TIh1IS�-I.MJt t • X03 ,.,„al9.l B.e.kou,,, IWe
a,
CONTRACTOR
fORol/ee►c ��J •AS5 Ses� Nlaa or Parcel Classification
�'. �� -�,'�� � Type c n x0 S rmkIorea . au/9
OESIONER. .2--
PHONE 0j V•,.....o at. I ocrpw pY �v.a ❑60 ❑R.g a.
.5. II g Area In Sy.Ft.
ADDRESS
CHANGE OF USE FROM �TO ZIP Main Floo, I Uooer FloorsAar etre Are UI Storage
ea of
M in
sement
8. VPE �EW r��AJJ1' .O AD'N. ❑RPL, 0 MVE. No.Batn.Oscl'No.Stories Basement 0 Im I.
f Dwellings
7 WORD 0 PLO. �J kM... ❑MICH. 0 M.H. ❑POOL OTHER CERTIFICATE II Roo a.o I'Ra a ar Re'Oa
of EXEMPTION •
8.
D111.W14z .4s.08,1181144..
'''''•L'"•
ILecHlon tAreel FEES COLLECTED
0. C
VALUATION'SOURCE' OAS I ELECTRIC WATER I SEWER PUTILITIES Oonl Ic aO PrivHe2 .E CODE
I hereby certify that I have read and enamined this application and have read n 'f., 6inale $
side and know the same to be true end correct All n on. I I ' ,I
reverse ,1\jc..)4
on
type ofwork will be complied with whether specified herein or hot the grantaai Build,
to give authority to v Olate or cancel the provisions of any other tate,I local I,,w, r,_,..,
performance of construction,SEE REVERSE SIDE FOR REQUIRED INSPECTIONS rJ
r zc� • , .�f Plumbing
DATE OF APPLICATION i% _SIGNATURE OF APPLII.,W1 ` 11111:111,. -L Mech.
!TlGAI APPROVALS YlCIAL CONDITIONS: I
/�� %
N :nTE /
` „„ 'vA6++E'J? yp,... Peen Check
RI41thIrE, ' 1 SEPA
tera• Mobile Home
r•
4
Other(Specify l
MIli
Ne'.Examine, c n
res TOTAL S CJ
41