1981, 04-10 Permit: 81A-3320 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE
REMARKS:
AN NUMBER
1
APPLICA11Ml'ER MIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH all JEFFERSON / SPOKANF, WASHINGTON 99]66 / 16091 .663576
70
MIT UMBER
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Jos ADDRESS •LEGAL
y �/OV,,„�rA.44:—,
DESCRIPTION — SEE ATTACHED
PARCEL NUMBERR
��i HER
in . Yl..p-/.,H u0a
PHONE
.5,34 -/05.5.
a a6o01:
p
¶ b/Fz 'V.Q.I,{•Gl�aaaf/.r.VifGFACi
99266
Acme So Boots
Nwtn lawmH I n wen
pNT9CTOR
4,T.2%.4,..4�ue'�
rf A.
PHONE
—8A 0
4 700
ZIP
99zo4
Size of P�.-t PMeNmIwten
Tr. Coen. M...07 SOrinkMrae
a
oyes ❑No ❑ Rea.0 .
a,deft
ADD ESE
P. A5 ci%pL/_
.1,4
DESIGNER
PHONE
vamwon BUMP. Arae In So. Ft.
6' ADDRESS
ZIP
Main Floor I Uaee, riooN Oerae. A.ee Mot..
CM*F2OE OF USE FROM ITO
a
Arm of Deem. 0(0(Mae Yaernent 0.110. 0.«w.00
'I'''. 0 NEW �a❑ALT. 0 AWN. 0 RPL. 0 MVE.
i. OF ❑ ew. al . 0 MR. Pun. 0 M 0 POOL O OTHER
WORK
Na. Baths No. Srw mM
JI No. Anoma No. or pwa.
CERTIFICATE Am'e. 1 Pal -id. Hot Rp'e.
of EXEMPTION Il
KWO Ii
B
Enum. Dl.t. L."'"""'”
FEES COLLECTED
5 Mla i
IDN oo OAS ELECTRIC WATER SEWER
B. UTILITIES
Owmism, USE CODE
Paollc O Private D
1 hereby cerIIIy Ihal I have read and ...fined I110 application and ha.e ,00d the
,1s nl la
on side, and know e same to b0 trueand correct. All nrawlsw
Pepe th
OI work will be complied with whethelspecified herein or not. fhe grant...,
(O give au(001,0y Lo violate or cano,l the p10viswl1S Of any 0111e1 11300 m local low
01 e0111411100(1. SEE REVERSE SIDE FOR REDUIREO INSPECTIONS
"Nf1Tt1'1 fff •,;s1 rn r erode.
f 1,0
'; ;;f. •`•. n °fe ma•
01 •1 n •.
reteL.P..;�., • • I,r ul1tl0. SH 1110
Bu1MiM
•950-g
Plum0)00
p.lOfmsnce
DAIL 111 APPLIES TION 4-4—R/ SIlNA 1111101)1 A1`1.1 WWI 1
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
Plan Check
5EPA
, WV* Eh
MIME
WWI. Homo
. Mn.Te.Ir
I—
. EMrn«,
Other ISPe001
TOTAL S_I
030 0500
.500 5
•5008
n
• 000 8
331.99
04-09=8'1
s
6079