1981, 07-23 Permit: 81A-7141 Inspect `� 11
INSPECTION RECORD
OWNER - LOCATION
CONTRACTOR TYPE OF WORK _/
NSE W FINAL INSPECTION: 7-g_3-F1 1-1 P
SET BACKS
DATE REMARKS:
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ND"" APPLICATION/PERMIT 04156 #10058
�' ER IT NUMBERSPOKANE COUNTY—BUILDING CODES DEPARTMENT ,11
Ps p'—-7(4 I ,
NORTH Ell JEFFERSON/SPOKANE,WASHINGTON eeSEO/MOP/ae6geTa
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
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`AODRESS
North 4615 Tolford Road /`7D LEGAL DESCRIPTION—SEE ATTACHED C� .1 a 0
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LUT 1 ELULN IBUYUIVIEIDN PARCEL NUM!!Rry ' t 1 400 1
2. OWNER PHONE 2.5- •t 6003#
3' wooAEss Pries
OP
926 5026 , - A *(10Q
wctuel Set Becht In reel 7 1 a Q
CONTRACTOR 8216_a onto
North ISOytn I i
Sturm Heating. Cr7E Slee ul Parcel IM CIaW11GlIoM
• l nR. Inc. 325 4505 p7—t.,sS.) •
DORPss EIP rrmconR. I o«vPana o Sprinkler.
Y 6479 1
East 204 Indiana Avenue •9207 Oyes Osie 0 Roe.. ";'�:aM1.
DESIGNER PHONE Valuellon Mein.Arm In So.PI.
6' ADDRESS ZIP Mein Floor I Um.,Floors O«me Arm
IJ 1
Storms
CHANGE OF USE FROM ITO Arae of Decks I FInIMm Basement IUnln.Easement
0.
l
Na.news Io.moon Rooms a.Of OWPIIIn
uaTYPE 0 NEW' 0 ALT. VfEQN, 0 RPL 0 MVE.2O OTNER WO RN ❑CLo. 0 PI.MS. NIGH. M.N. ❑POOL CERTIFI TC Rmre. I d..e. rot p.yy,
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DEIGRIEE WORK
of EXEMPTION
R EOam.DIR. Lo tlen(Areal
VALUATION lnetall hEEL pump 6 C1rcoi[ bkr
I FEES COLLECTED
Q (SOURCE GAr' ELECTRICOonareellp USE CODE
UTI LITIlOI I YY I WATER I elwaR P001W DPrIe.H 0I
e l hereby certify that I have read and examined this application and have read the"NOTICE"provisions included Single IN—_
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on reverse f da,and know the rams to be true and correct.All provisions of laws and ordinances governing this
type of work will be'complied with whether specified herein or nut.The granting of a permit does not presume ...A
to glue authority to violate or cancel the provisions of any other stale or local law iapidelmp construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plombinp _
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DATE OF APPLICATION aY1 131 }9g1_._SIGNATURE OF APPLICANT �w/ 4.50
144mSPECIAL APPROVALS �Li --/jx10 - sash.
—
NECIAL CONDITIONS: Ellen Nualow
NAME DATE
En.,N..Ifa Plan Cheek
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I.nnlne (EPA
re Marshall•
ii
MON!.Nome f'
e.Enpinmr
Other lap«Iryl
unn
x._.. TOTAL S 14.00