1981, 03-04 Permit: 81A-2029 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMM41 :
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"UMMIE APPLICATION/PERMIT Q KNMIT UMBER._
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3' SPOKANE COUNTY—BUILDING CODES DEPARTMENT / Sf r
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NonTN a,,eerranapi,/a.,,B.UE,teRNINOTOeI SS1e0 1 1SW1 ae6]S16 _ Ovf‘tk E6� APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES �-tT }
ADORIal 0 3• •Teti
' // -1,1 (�Q/ 6aladRu FF Ato LEGAL DESCRIPTION-SEE ATTACHED -9.00
wet EWM 111.01 I r1 eandEL NUMB.,
•900p'
DTM P oNE
3. Qyti 1-/cAIMICKSoA) P0?x-.05, - A •000 A
Z Actual SW Backe In PON 20281
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�l�/�'',� y // B�5:`o`Parcel ISNRE M CY 0l Con"
03-04.43,7,
{d
v�.v IP Tree Conti. oecuona Sw. D " Q.�Z
^pUIONER/7de �7n� Batt Over Ono O Rep.,
PNONE V.luatlan M111E1110 Area In M.Ft.
ADDRESS .ZIP Main Floor ipper Floors Garage Area i5wa9 , v r.r
CHANGE OF USE FROM ITO Aram of Ptmnea t VntIe.Neaman
I. y� J Rooms
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TYPE 4lNa BLAIN No.Stories R •INC. owRllrN•
NEW 0ALT. 0 AWN. 0 pPL 0 MVS.
I• or J,,. ❑OTHER I No. 1 "'.
..MORN Q RD. AGI • 0 M[CK 0 M.N. 0 POOL CERTIFICATE Rated. Reeeeee'�B. rot ReO•d
o/EXEMPTION
I
DESCpIEE WON n''' tlon IA•lure.)aNAAdBF�u� E/eef P.e lTW/
Enum.DlILoeaPIES COLLECTED
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VALUATION SOURCE OAS ELECTRIC WATER SEWER ownernle SE CODE
e a UTILEITIES k Pukes❑en..).❑ BIMIe E
I hereby certify that I have read and examined this application and have read the"NOTICE"provisions included
on everm side,and know the same to be true and cut rect.All provisions of laws;u,rl nnlinances governing this
type of work will be complied with whether specified herein in nut.The granting.•I,i permit does not presume Sundt". ///��s
to give authority to violate or cancel the provisions of any nth.,tate or loco tau I ,n,11 construction or the 961
performance of construction.SEER�RsEVERSE SIDE FOR REQUIRED INSPEC/ONS Numbing
DATE OF APPLICATION no2-013---_�I SIGNATURE OF APPtI•4'. _.i I1-, _....M..,,,
SPECIAL APPROVALS SPECIAL CONDITIONS:
gm.twoMAW.DATE PIM Cheek
PITIPM11-,--7— 11i
RIM
.. tion MutaMobile Nome •.
a.lnalnear Other Iltpealhl
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ynRet Lj ,
•.ea :r ' TOTAL t7