1980, 09-12 Permit: 80-7114 Inspect INSPECTION RECORD
LOCATION
OWNER
�Y OF WORK
6ONTRACTOR X02 j;,/
;, zze'
M S E w FINAL INSPECTION:
*ET BACKS
DATE REMARKS:
942.k aitOottylezd910
11-"vat‘; '
is
Fu"NUMBER APPLICATION/PERMIT WON,NUMBER
SPOKANE COUNTY—BUILDING CODES DEPARTMENT If ,_ �7_
—� NORTH Ott JEFFERSON/SPOKANE,WASHINGTON 00200/1609)450-3070 r _. �/V
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES )16114
1 IOTF(/� 7AC LEGAL DESCRIPTION—SEE ATTACHED 04• w 9,00 0
I JOB
PO BLOI2aDRESS q SUBDIVISION PARCEL NUMBER'S
•9.005
2.
a 7NERE •000 0
0 ea' 4 Cp-nwie.k Ru -97. 3ITTIOS
e+ee
;ils' � 0� Ae ssoKt ee.. 19.--r!-....9--- lw.. f0
7-15—
B0
/ rNLoYN97�5:.or/Arc. Zonecl.:.lnutoe 64794. Type Conk DEMO.. Sprinkler.
Aro q �¢ t z e Rep,.
00R yala.non Area .
E' ADDRESS ZIP Main Fieer Upper Pipers ..q we ...TT... 1
•
CNANOE OF WE FROM TO Are.of O.cke I FInlebed B.e.m.nl Unlln.Beeman,
& I No.Merles No.Room. INo 1
WOR 0 NEW 0 ALT. AWN. 0 RPL. 0 MVE. No.Bathe I .or Dwelling.
• 7, o O BLD. 0/LBW 0 MECH. 0 M.H. 0 POOL oTNeR CERTIFICATE imord. Rec'e. Plot R.o'tl. •
wDgN
n of.Mo.EXEMPTION
a D eE WORN f��d� �J���7 � Enum.Mo. Location lAreel FEES COLLECTED
VA UATION SOUR E %(OAS ELECTRIC 'WATER SEWER wnersnIP USE CODE
9. uTlllilEE Pubue O Private 0 i Single f
I hereby certify that I have reed and examined this application and have lead he"NOTICE"provisions included
tk on reverse s de end know the some sob t ld curr.ct.All p nv f vv a rrrd nencae govern ng th-sBuilding Otype of work w ll be complled w th wh th p ified heren of nl Th g t ng n e pn I t dons of presume `Sto give authority to violate Or cancel th pr i1 O Ie of any olha iia l law i.gulat Ilg Construction or the114.
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
`j � . I.
OATS OF APPLICATION SIUNA I oil E Ill ADPL'DAN I—...____— Mesh.
SPECIAL APPROVALS SPECIAL CONDITIONS: '`")`'A
NAME DATE Plan Check
Env.Health
SEPA
DHnnino
Fr. eNh. Mobile Home - 'f.',
,
O. 70 n«r Other(Specify) ,i'fn
UtIlltlef
I TOTAL f F— --"
PIG .......... v
WHEN MACHINE VALIDATED IN THIS SPACE,
•
•
•
•