1981, 03-10 Permit: 81A-2087 Inspect c
INSPECTION RECORD
ADDRESS
DATE RE ,
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�jr/W/ •. ,J ; JPIT NUMB��E..,,Re/�
SPo a-Rei. NT S!A'ZW7 fl IJl-/M'_I(i
NORTH Ell JEFFERSON/SPOKANE.WASHINGTON 902110/MOW/11[-M
APPLICANT' COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
Joe ADDRESS *'.1.3 0.0
1 13 ld�Cb'D�LIFF LEGAL DESCRIPTION—SEE ATTACHED 1'0 0
�L PARCEL NUMBER'S -5-as,_':_.-•l •31'OOP
Z LfP I P!5NI)EQO-.F1 4101TIU.
OWNER '10r $
f La •
3. LAN 32Osf R 4 0-0A0/EXFFALor t.a�
�qpR S IP Act..I Mt ENGIN in TM I i..
e. 0x 13 '23 ct`.aa li sl: ?I IS•,.0 -il I est -I 1 I0m 5 3-05.81
CONTRACTOR PHONE •A oh 16,1 �arcel � .�kF'RlL 6471
ClanIflOatIOn
A ADDRESS ZIP ryq• 1. o waa 1
sNTI� Yrii E 0.31M.1 w.. ❑H• 10 R.a'n.
D ESIGNER PHONE V,In:i 1 Lng A.F In 5.d.Pt.
794
01
6. ADDRESS ZIP 1g1Io 0, I UPper Q.i.l.•gNJyyl yler.E•
ChB..OP USE P• M T. or b.cHr Plnl.n.a Basement Unnn.Basement
e. Q eCt/LSZE 1
T• /A NEW 0 ❑Ab' 0 RPL. 0 NYE. No.BFInI Na.1101PM No.Rooms No.of OwFlllM,
won, "'BLD. ❑PLT` THER CO.CH. ❑M.H. ❑POOL CERTIFICATE Req P. •ec a. ot'F9•.
M EXEMPTION ✓
D ERORIB[wo RH RIOT.00). ILounon'DIM) FEES COLLECTED
91h4CPIm ILV "e51.01-• CIRn• E INTIA
(�tIUQ� N SOURCE OAS -IC WATER SEWER OwnH,alp USE CODE
.J II IST UlILITI[S , •�+
Public 00.1r,t.li EinSIF
I;loloby certify Mat I have road 61111 avant mud'Ilk.::*111011 and Ism laud{h0"NU, l. I".rviNVlll nolullad
1 IRVIPII PEN,SMO know th.Lail.fu ba Irne on. .rreol,All provisions 01 IIWI..,lA9varnini dill ir31g,00
1 of wink Will be COT IIed With w11a11tel 11•11011100 1,010n,uI 1101,Th. ant 1 ''II RH flat P10101• P"Ildlny
OPave atllhnPIt 10 viola.or Canoes Ihn tone OL an olh.t state Or loual law R
• t f v Sl SI y ,aIP,I.p .,„I:ane9l:m Me
wrinrmance DI construction.SEE REVERSE EIDE FOR REQUIRED INSEEY NS ` �' PlPmbina •
DA IL kW APPLICA ION 4-d-8 I SIGNATURE OF M'PLII• Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: \�_
NAME O�(MT[ L Wee ON }
as
2/7 Plen Check SEPA
Mobil.Home
Other lEy.o'lvl
_II�*Nva. 5/[�/
TOTAL S SI;Cn
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