1981, 04-09 Permit: 81A-3288 Inspect 7
p
INSPECTION RECORD 0p
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
d
•
....,..
11'
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f, 'P °°°' °°
'a 1 APPLICATION/PERMIT
— '20A1'
SPOKANE COUNTY–BUILDING CODES DEPARTMENT /9 IA- -£5
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 60260/MOS/456 3675
APPLICANT- COMPLETE NUMBERED SPACES PHI-,-,,iiAliD 10 MAKE 3 COPII S
,. , JOB ADDRESS
LEGAL DESCRIPTION-SEE ATTACHED
LOT
,5. -.3S0, 6a od),e u.1=F
— (,,, .1&0 0 BLOC SUB ID PARCEL NUMBER/S
2. •1 a 0 0 G
OWNER PHONE
a tti RS CoNsTO. — RICL SAcItcy ..91$3-139'0 •1 4 0 06
,..
I ADDRESS Actual SA liacirs In Paat , /I .000 8,
fit ,..-0.0^ 150,,p, I aft IMO
CONTRACTOR r PHONE Zona Classification '
4 ANoenso4/5- 1/7-6 5 A/„,, Azi- o
04-09-8.1
• AppnEss , 7.7.2a .., TIM. nst. Occupancy 0y.5 0No 0..,,,,,,.
er, evs- Ai...047.5,-/e•-..e) Y 6 479 '
_
DESIGNER PHONE
6. ADDRESS ZIP Maln Floor Upper Floors as...Am• Mom. I
cs .
CHANG!.OF USE FROM TO Ama of Dm. Finials.Ramment Unflo.BaHmant
Roe;:, No SIONOS ti RoomOwallInas '. .-•
...VP. je NEW 0 ALS. 0 AWN. 0 PAL. 0
7. OF OTHER
wo,,,, 111.13. 0 In...9. ,fid MECH. 0 M.H. 0.0 CERTIFICATE [ Ras,. Pew, ro,IltreM
al EXEMPTION •
I oEscotBE WORN .24,ic.) I''''
a sttif-i.e.,, .e-CTRIc cfli.P.V. Daer-kia.Cfc si /17121X/Ni° FEES COLLECTED
EsE5FIC
9. USE CODE
UrlerT ,IES 1,510 E Privets L]
Single $
I hereby 0ert14y that I have teed anti V.1111111011 It*apIlliCatioN And ttl 1,1.rt..u1 Ow kl, III I tlItt,...,."1,1,1,1....1.,
on reverse side.and know the mniu to IN true and collo 1 All lir,usufip Ill I. II.. 101.olc 01 1,10v.,,,,tho eu,,,0.
hpo of work will be complied puth whether IllucMed hero o,mu 11:1,ii,10,1i t rh,s.,thto.Pt,ive,t,tis..
to you,authority to violate of cancel the 13111001,1,of any uthei 1.1.00 tll local 1,1 0,,I it m01.nolo
petformance of CO1151,1010.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE Or APPIAPATont,,,Z.V_AV ,5,NAT0111 rn A1 P1 ICIONIT. .... ..,..:/ afag....$1.. .56F 1Y/9.1M
SPECIAL APPROVALS SPECIAL CONDITIONS:
00
Nimes oATItt , Plan Check
-
..
fa,,,...a /0.MO SEPA
11,thi,no
P,Tir.f.,mpl 0,01“.0 ifteCre,c. Mobile Nome
' FCAR/Vt_._‘•g-o
Other ISpecityl '
Ve htre, -
„N
1
TOTAL $/q.•6'
.111,1 mei opp sna Hari l t I/117 Hiu r..88.1 a
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