1981, 06-09 Permit: 81A-5743 Inspect c
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NS E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
— w
NUMBER I APPLICATION/PERMIT "" '"°"°`
11 glk—NUMBER
HPOKANE COUNTY—BUILDING CODES DEPARTMENT
NORTH B11 JEFFERSON/SPOKANE,WASHINGTON 002110/ISOM ASSse)6
APPLICA'NT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
JOB
ADDRESS
�l,( 'Ma*1'^'' PARCLEGAL IER/S DESCRIPTION—SEE ATTACHED 04* •1 4.00
_
LOT sue. o BER/s *14.00 F
2. •1400
OWNER(...7.‘......,..3 1/ 'D•. PHONE
•
a �`/ Actual Sete m Feat
A •0 00 8
ADDRESS ZIP 574.21
ONTRAQCTOR ct2AJt_Tt_q_1* I)—�' Na of P•rul•ctlfpin r n.Cl•witlu loot
Fi.LAa„crc.• 97 CS 1.2.81-
..
.2.SZ ° 06-10-81
4. ADDRESS Typo Conn. Oa„ponce S;Hntlarm " 6479.
E- 1 305 5.J1..QM't .6(0 0V.. ON. ❑Rp'6
IlloasioNER PHONE Valuation SWAIM.Arm In Sq.Ft.
B• ADDRESS ZIP M•In Floor I UPP•r rIPOH Clara.Area I Storage
CHANGE or USE PCOM TO Arita of Daces Rlnhn•e Swanton( unnn.b•Nmam
('. No.Bath, N.Stories N.Room. No.of 00.111ngs
TVP[ 0CL ALT. A 0 0 WN. 0 RPL 0 MVE.
7. OF 0 OTHER CERTIFICATE R.a& Rata. tot Rp'd.
WORK 0 OLD. 0 PLIAS. „�MECH. 0 M.H. 0 POOL
of EXEMPTION
Enum.DhL ILPMHen"""' FEES COLLECTED
• VALUATHS SOURCE OAS ELEECTRIC WATER SEWER Ownwwto USE CODE
R. UTILITIES • )C)e Public 0Hlpts 0 Singi. $
I I hereby°ably thet I have read and examined this application min haw•.read the 'NO it..I. iii.ensions included
sale,a,Aknow the same to be true and wneet.All III Iwls11111r of laws:mu •ih-..I es governing this Building
• yperAI mink will be complied with whether specdied herein r, 1 The yr:amount.I I dons nol theetlydS
to give authority to violate or cancel the provisions of any other slate n local law ii..,.'•'.v.,.,,Osnoctinn nr the plumbing
performance of Construction.SEE REVERSE SIDE FOR REQUIRED INSI'ECTION6
Inure OF APPLICATION J�__SIGNATURE UI APPLICANT `�'sir^!Y.._ Moen' 11/4—.0L2
SPECIAL APPROVALS SPECIAL(L'oNDIT ION[I Plan Check
RAM[ DATE
r''.—�•ITr_—
SEPA
Mobile Hems
I„Cct.l,T.1r”
r.,u..•n.-'— Other ISpmllvl
TOTAL S I T
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