1981, 09-21 Permit: 81A-7812 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE JF WORK
NSE W FINAL INSPECTION:_24' . 3 F/6°,
SET BACKS
DATE REMARKS:
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HUMMER - PfiRMIT NUMIIq '
"" APPLICATION/PERMIT M
SPOKANE COUNTY—BUILDING CODES DEPARTMENT 61 'TBI
NORTH 811 JEFFERSON/SPOKANE, ASHINOTON 99360/16010.66-3076
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES v .e
71 Aa AGpR 4EM LEGAL DESCRIPTION—SEE ATTACHED I, ',I+
,1 Lor OLOI.H SUEDIVISIUN PARCEL NUMBER/S
2 040 01700.,E
OWNER PHONE
3, CI.INITOAI L.. 6Rv/LLS .Sa Sac'ffi443 .17.00-.8
ADDRESS ZIP Actual Sete .In FM
w»4408 4•1N I`tOrP.rH.eis0.tn »ONRIrIeaLost 017.00!!
PHONE A +boo s
• ZIP Type o�
781.21 yjy
ff���aa�e .,."4'-'•1`
.afa::_1 POW wmalon Oveaa Oxonm�RDI d. .-Oe*+'a'egiri :11..„.
�BHeq um A I S6.Ft. 1•6' oummumI ZIP Mem Fleor Use.,Fleors D.r.sc Are. Stomasrt 6470.'CHANGE OF USE FROM ITO Area of O.00. FInIUmd Bauman! UnlIn.Baseman!
0.
I No.Batts No.Steels, No.Room. 1Na.of Dwelling.
TVI'! p Naw - ❑ALI. 0
AWN. CI RPL 0 MVI. e..
'• WORM ILO.:00 RMB, m MICM. M.M. 0 POOL OTHER
CERTIFICATEof f Rp'6, qp a. ryol Rp'tl. ..:
Iac...EWORK " enum EO%EMPTION.t
• & ion fAr..l FEES COLLECTED ',.
�.E�Q C w w r-tate-s�,Rne
VNLUATION OPel OA! ELECTRIC WATER SEWER own... USE CODE '
UTILITIES Public❑'pro❑
Single S - Iki �
1 hereby certify that I have read and examined this application have read the"NOTICE"provisions included }+.
on reverse side,and know the same to be true and correct All provisions of laws and ordinances governing this /�
type ofr work will be complied-with whether specified herein or not The granting of a permit does not presume eulMing
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the /
performance of construction.SEE REVERSE SIDE FOR REOUIRED INSPECTIONS • Plumbing `1
DATE OF APPLICATION GII�sII SIGNATURE OF APPLICAN4.- .;"va:i' Mat. A a•00 -.A!,
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Chock
Sr,.Healtn
11RAWA1 SIPA
F
sA
•
m - , Mobile Nam.
I.
t
iy.
10.10, Other lapwlfvl SP,.,,.,.
TOTAL SYSEL
n.leonine,
WHEN MACHINE VALIDATED IN!HIS SPACE.