1981, 05-11 Permit: 81A-3509 Inspect r
•
PL N=,.REN I �f�i�/&/ APPLICATION/PERMITPERMIT NUMBER aE"
COUNTY—RUIL^1,o CODES DEPARTMENT 81 3 J�/��
RT 011 JEFF SPOKANE,W ,955.3515 C
APPLICANT COMPLETE NUMBERED SPACI- I tI. :HAW)TO MAKE a',' 'II-
1a f7g,JOB y S.o46roli 6&L„cff LEGAL DESCRIPTION-SEC-ATTACHED
670
3. DyR ,05MF1-AILR �(` n0
lan 6. Ow-473 • •'8 z n o�
A AAS DRS.D�jwood ra 9ao6 a.�1 .$°s,(rw IWe •001,
4.
CONTRACTOR
/Il0 VnEi 13,- '-- 9Ji$-�{6.(�PHONE
M e'or Pe",I "t ,—
one eeeR cation
ADDRESS "'� - --.--- I,4-1 4-8 1
/OL fCJoCnP Road ry9aJ6 L Sprinklers.nn «-3Y 0,- ❑ 0 [7
A,oe a 6479DEsrDNE
BARBA,As.As SA FL
s. ADDRESS
CNANOE OF USE FROM TO Marc
From
I Area Stamm
osemont
G.
NEW o AL RPL ��'" 1e. " J' .
UWORN
E$CRIBE WOR11 D ❑ALMA. 0 MECH. 0 ALM. 0� I.O J --+V CERTIFICATE T�uBaxmen ee
n EO%EN.YTILo a L�
a LGN! _ ' 4 ((5.i. III
L^°^.OW. Location Aare.
ue"
VA ATI' S0 ee%E Er-1 FEFS COLLECTED
e 65.56 co TI°14 Es W RE DDE ^,)
I'. ' hI. st$,$$
"L f k III ,OI'PII w 1r whNtl I i "'
11 V IY late rruis bu Rdiinp
I pTe I rrl(ruc(uST SEE REVERSE SIDE FOR SCOUIRED INSPECTION'
1YI'L 1 r�N_ (���/�� Plumbinp _
SPECIAL APPROVALS SPECIAL CONDITIONS: /!!!' / MK5
NAME, '( ff
env N41IIr r \T `' sdC•' Nen Chock
3ieiT"-.
,r,..n.,. SEPA
Mobilo Home
lil Iiia- Other ISPecilyl
-_----
-J TOTAL $foot r a°
c
INSPECTION RECORD
ADDRESS
DATE REMARKS
Lkt9/2- C?.A1-
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