1981, 07-23 Permit: 81A-5565 Inspect 7
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
e... .....—
IMAN AMmBER I APPLICATION/PERMIT -.
SPOKANE COUNTY—BUILDING CODES DEPARTMENT I ._G/r , /
NORTH SO JEFFERSON I SPOKANE,WASHINGTON aeaao r mw400.3070
) „��I,�J
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES �XJ
Ob• +500
JOS ADDRESS
s 3214 S. Wilbur ii7C-. LEGAL DESCRIPTION-SEE ATTACHED +500„
LOT BLOCH 3UBOIVISIUN PARCEL NUMBER/5
2. +5005
OWNER A •000 s
a Rod 6 Kathleen 01Brien Holmes PN 922-4673
ADDRESS ZIP 55642
3214 S. Wilbur 9,206 ott.al Sal eitN'SownR
CONTRACTOR SI.of Parcel Zone Cu.unolo't 06-06-81 -
Servisof t Systems p328..6651
�. 2 6479` ".
• ADDRESS Typ.0 t °ccup.nce
ZIP en
W. 507 Indiana 99205 or.. ONE. 0RN'a. .vk
DESIGNER PnoNE Valuation aua on IMlne Area In S..Ft.
6' ADDRESS ZIP Main Floor Upper floor. Darapa Ales SION. -
CHANGE OF USE FROM OTO Area of Oecks I Flnlenee SU•ment Untie.Basement
a
TYPE 0 NEW 0 ALT. 0 AD'N. 0 RR. 0 NUE. NO.BNF, I No.Steel. I No.Rooms R.of b.111.0
7. OF
ORN 0 BLPLIAS.
0 OTHER IJI
WD, SO 0 mem 0 M K 0 POOL CERTIFICATE We. flea a, rot RN'S. •
DESCRIBE WORN el EXEMPTION
& Soft Water Item.DUI, Location We)
fqp COLLICND
VALUATION SOURCE GAG ELECTRIC WATER SEWER O nersnIp USE CODE
B. UTILTIEE Public(PORI.0 Bllgl. 111—.-
1 hereby cul lily that I have read and examined this application and have lead lhr"NO t IAF' li vision included
level s
side,and know the same to be true and correct.All pi°visions,�i laws a ,oilinences governing this
type of work will be complied with whethur specltied here,,,Ti n„l.The granting of iii p"onil does not presume Building
to give authority to violate or cancel the provisions of any other stale,,i local low iegu.el,,og construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing 5.00
• 1- 3
DATE OF APPLICATION /f4/Bl ' SIGNATURE OF hal,ICAO,____. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: '
NAME DATE 7 Pim Check •
TuV rria nn SEM
1,1r•Mann.11 /•., _/.l
Mobile Home
cn Fnelnaw
Other(Specify)
TOTAL $ 5.00
-- — -- - wuFN mecielerr Val MATED IN.THIS SPACE_
•
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