1981, 06-11 Permit: 81A-4117 Inspect INSPECTION RECORD
ADDRESS
DATE REMARKS �, � �y (✓,�'7�.C.�� ,(�7 ,
`1f
""DMIER APPLICATION/PERMITP /�
. �/30�8� SPOKANE COUNTY—BUILDING CODES DEPARTMENT f'I pD41 I l �(/Q..)
NORTH Oil JEFFERSON/SPOKANE.WASHINGTON 99360/15091656-3675 ��•t�
APPLICANT: COMPLETE NUMBERED SPACCS PRP,. IAIt U TO MAKI 'I.� +
JOE ADDRESS
L •5500
• r l r LdE PARCEL
AL DESCRIPTION-SEE ATTACHED n .
Z 3 L NUMBER'S d3sNZ-o�{G.3 5,,006
AN-4. ,all ,Lor 9 43,K y •
3 C �.fPLtsQ -Sr VIC 3C ADD
D6n�rtss .... "r .
.4.2ip 14.tr•P�- er{pn44Aa- 94Zz/G Node.3
r.ISeulh ' I 1,
B.M/hC.Al ed.c.c.�.!k ADDRESS z27-3z24. PHONE sNGJ r5/36 Occupancy L,81 e0�HPG w/Siariew/icasir5J. • hG'ic.
-T�/� ai 929 P....., 4 n.., 99 8 sol M-, ❑vn Dn.
IP Iirp•
nan
❑Retie.a•a
PUIDN[R PHONE IIaln87TnSaFI
r /?/B' ADDRESS ZIP MO O Ara,
Ezi,iage
TCHANGE or USE PROM ro Area oD.xI� Nan Bagman!
a.
No.Baths No.St.., of Dwellings
g,y M NEW 0 ALT. 0 ADN. 0 RPL 0 MVE. /7. MI ❑OTHER
WORK
M.D. 0 KJ?. ❑Kim 0 M.H. 0 POOL CERTIFICATE Rag,. Recta. rot Recess
[dCRIIE WDRN of EXEMPTION rot
a. SCRNIEw S . la_ WATER SEWER Enum. Ia. etlan(Ore+1 FEES COLLECTED
CE GAS ELECTRIC USE CODE
8.6-'5.540 UTET o blit 0 orro+N E7
Single $
I hereby cerbty that 1 have read and examined this application l-, 1 have { 'I'a , "�I
std.,and know the same to be true and correct All, , III I I. n
on reverse „v '.,I Ruildine ,S6�
type Of work will be complied with whethal specified h 1.I he 1-
to glee authority to violate or Cancel the provisions of a,cubicIncal r //
performance of construction SEE REVERSE SIDE FOR REQUIRED INSPECTIOftfli-v Plumbing
+tb-�
DATE OF APPLICATION 9-a/ SI(.NA ii IRF(IF nil I,'ANT 4(I/Y6�/ Meen.
SP(01AL APPROVALS SPECIAL CONDITIONS:
N M TR Pim Chem
ennl / SEPA
e MNex+a Ill / } x9,44,..,
/ nLiultaie-r Mobile Home
1/+50/5 �,QQQ-44 Otter lSPecify)
Ise . ..44LHt.992/G
„� TOTAL 5Fi
'fi+P.^O .f.. t
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