1981, 07-23 Permit: 81A-7247 InspectINSPECTION RECORD
OWNER w AT N
CONTRACTOR - TYPE O NORK `
N S E W FINAL INSPECTION: l
SWUM
DATE REMARKS:fi
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APPLICATION/P ff
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SPOKANE COUNTY — BUILDING C S DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE. WASH I NG -60N 118260 / 1809) 988-3876
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Joe ADDRESS LEGAL DESCRIPTION
— SEE ATTACHED
1. 1rrAs• 1�
PARCEL NUMBERrs
2F
OWNER
An A's 91TY-9y01Y PHONE
O F vrV
ADDRESS ZIP — S.t 1- In fwt
3 ls.+rwn t t 9Y7ta
CONTRACTOR PHONE ze of Farn ne Cleulflullan
Aiflig�zt/i 1f J/a
4. ADDRESS zlv Trw cons. ottuwnq
Springm,1
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❑vet ONe ❑ P.o'o.
DEStOteER FHONE ValuetlPn 1111,1111 Arae In Se. Ft.
E•
ADDRESS ZIP .i. Floor -W FleoO
Ouep. Area 5terepe
CHANOE OF USE FROMTO Ara of Deckt FIn1Rle,1 Betement
Untln. BeNment
TYPE 0 NEW ❑ AIT. C2AD'N. O RPL ❑ MVE. Ne. Bunt No. Starlet
Ne, Rpomt Ne. al Owelllnpt
O BLD. O PLM., ❑ MECH. [3M.H. C) POOL OTHER
CERTIFICATE Rq . e< P It"Id:
W
W
WORK
AEXEMPTION
DescRIBE WORK an.-DHl. Loutbn lAuN
FEES COLLECTED
� V UA 10 SOURCE OAS ELECTRIC ATER SEWER Ownertnlp USe CODE
B. url °tiles Public OPrIvaN O
single i
1 hereby certify that I have read and examined tris application and have read the 'N117ICEl
" included
vrsius of lnd ,��d�naimesl governl ng this
sis side, and know the same to be Du and ..rtect. All pronaws
type ofr -1 will be complied with whether specified herein or not 7'I', granting I,f a nem\it does not presume
Bonding
to give authOtity to violate or cancel the provisions of any other stale or local law repo laliilG 11i1SlluctDID or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
PlumbilW
DATE OF APPLICATION -2 Aa '7X—t _ SIGNATURE Un APPI. ii'. ANT
SPECIAL APPROVALS
SPECIAL CONDITIONS.
I.M. OATS
S..^.. feSSP I FY/ �^� W e"
PMn L1ipis
SEPA
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FIRM51
mobile Home
Otner ISpacilYl
a�.nn
vn n,
TOTAL $
A_ RMITN B
61,47
Iry
04e •.4.00
+140.0 S>
*1006"',
A +000.8'
7246;1
07-21 81_;";
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