1981, 03-03 Permit: 81A-1790 InspectOWNER
INSPECTION RECORD
CONTRACTOR
NSEW
SET SACKS
LOCATION
TYPE OF WORK
FINAL INSPECTION:
DATE
3 -
REMARKS:
ni>
/26 YPS SE
N NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Btl JEFFERSON / SPOKANE, WASHINGTON.280 / 18081 4811-3871S
APPLICANT: COMPLETE NUMBF RE U SPACI VICES: `n MAKE, 3COPS,
- JOB ADDRESS /�
1 LOT gls. II 7IUBDIVISI 1. oiR-r
2.
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NorARE RFS
1
4.
5.
OWNER
P;OAI/Vi10 -1,
"7.'
11703 AL -1-132. AA-?
Y,27-0,43
zIP
9920 EJ
.mel s.l Backs eat
"SOWS R (Wean
CONTRACTOR.
ADDRESS VG
PHONE
SNF of Parse. Zona Classification
ZIP
Type Const.
SprinklRed
olzuwnpr Ova, Otto 0 Red•O.
DESIGNER
PHONE
Valuation IBullolnp Area In Se. Pt.
ADDRESS
ZIP
Main F100,
UPP.r Plon,l Garwe A.ea
storam
CHANGE OF USE FROM
e.
TO
Area of b«k,
Finished easement
Untie. Basement
TVPS NIW 0 ALT. ,❑,/AD'N. 0 RPL. 0 MVE.
Or
WORN 0 ILD. 0 PLMI. L. ME0M. 0 M.M, 0 POOL OTHER
No. Batns I No. Steele, No. Room. INo. of Dwelling.
Re. d. Fool RN'd.
CERTIFICATE Reed.
of EXEMPTION
DESCRIBE WORK
• hl VALUATION
SOUR tE v
VALUATION
9.
EPYm, OHI,
Lontlen (Areal
OAS
UTILITIES
ELECTRIC
WATER
SEWER
Owner,hlP
Puo110 ❑P.N.). 0
USE C00I
I hereby Cartity Ihal ' .Ivu,I .n1 01.11 • .1111)',,
Bide, nrld know the same 111 be iii .IRI I. i.Il., Ilr.s
type f
orf work will be compiled with wllu tl ..o'il,eu hViteill r .n
10 ENE authority 10 a iolale oi 1E0.0 Illy
Jos
tl•
n0rtormance 0f 800,0800m 0800ir. SEE REVYJ ::.0E FORR,OUIMCn INSPE
OAlf ,.Iii rloldsi..4
1
PECIAL APPROMLS J{ SPECIAL CONDITIONS:
NAME DATE
FEES COLLECTED
MOW $
Building
umbino
,Taxh•
Plan Check
BEPA
Mobile Home
Other ISPecifyl
TOTAL $
PERMIT NUMBE'
11 514- nu
•
• 700
• v1..,
.1 oma
611 i9