1981, 11-06 Permit: 81B-1543 InspectINSPECTION RECORD
O R
CONTRACTOR
N S E W
SET BACKS
LOCATION
adj ,i1 s7 Lch,,.8.2..2_ u4d,
/L 7 o -a
APPLICATIUM/ PERINI f
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 ON / SPORAN6, WASHINGTON 99300 / ISOaM 4663676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
151124
11—DS-81,.
66711
-�_ IODRESS
OSSIONER
S'. I1DOn
CHANGE or WE ISOM
211*
One CaIlullon
SwIIHH a
Oyes 066 0 R.,
S.IpIM Area In Se. II.
ZIP
TO
CENTPPICATI
M EXEMPTION
1019 OOLLScrIO
OROHtnl1
ROAM OPTH.. 0
1 h•r•by 0 '.u1 ..„d a frOl !hit application and have read the "NOTICE" provisions Included)
DR 707070 }Hie, a In h0 hue and correel All yrdmons of laws and ordinen•M 9Dvernina Ih,•.
NO* al woo. wrlh whx 4,x1 .Veciliatl herein or nnt. The wanting Of • Ammo dnaf not nren,nl,-
to 9,ve utit,.', cel II,x n of any 01401 t Or local law ,e9ulatin9 c nlhuchon n, 11,.
a r ..r can n�v,Hnna 101tl 0 '
prformance til .. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPL ICn:1. .V/ SIIINATURL 1/1 AI'I'I (CANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NM. GATE
SINS l
SuildInp
Plumbing
Mach.
neo aee.
SEPA
Mob le lie •
Other I56.c.171
TOTAL SJ:7_