1981, 10-15 Permit: 81B-0374 Inspect 7
INSPECTION ICORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK,,- fif
NSE W FINAL INSPECTION: / 04e
SET BACKS
DATE REMARKS: ,,rr /',
/40' sir/ . .-"*.. /# •,., ..0-ai,•-• ....",1?,)- ,- .
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1
T _ . , _
rata NUMBER APPLICATION/PERMIT COMM U B R I
C a1 0;e,—o5-74 '
SPOKANE COUNTY—BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON'SPOKANE ASHINOTON ppzs 'IS091 OS3e75 WWW
•
APPLICANT COMPL F I E NL!MRf'RFU SPACI'. l.
jo JOB ADDRESS
y 2�f� �,, LEGAL DESCRIPTION—SEE ATTACHED
LOT LOtIC 51LIBDRRSIaO PARCEL NUMBER'S p4• *1700
a *17.00 t
HER NE
Le.ea. Q6
a -zt41 •17,001f,
a ADDRESS ZIP Actual Sar Backs In rot
E foie GTM (PHONE A North Isoutb Eau lW.st k •000 8
CONTRACTOR PHONE Su.or Poop 'go Glorification 3734 �y�i
. 4. ''",.:4:::5ZIP T.P.ean.1. o..epm.v e s ... 10._,Oy:"87 •.
❑Ves ❑Nones0 Rap,. tll ..
DESIGNER PHONE Valuation , ..In Rt. P 6479. t,Site,
b' ADDRESS ZIP mem Floor UP.5 Finers OcrO.A,.. sror.p.
CHANGE OP USE PROM ITO Area of Dock. I FInlsh.a B.s.m.nt Un1In.*.,00.515
B.
...atm B.tM1. I No.Stories Nv Room; Nv w
of D.l np,
TCM
V.. rfNEW 0 ALT. 0 ADVI. 0 REL. 0 MVL7 WORN 0 SLD, 0 NMI. 1�MECH. 0 M.M. 0 POOL 0
OTHER CERTIFICATE a a. Rao a. r..R.a'd.
of EXEMPTION
DESCRIBE WORK /p.�VV ��oo Enem,DUL Leeatlen IAnal FEESCOLLECTED
Y vA I E�fa LASS f ELaCTRIC WATER I SEWER Ow I. USE CODE M1 +.,
_ALIT I I COrsC Prlv.1.0
Single S •
I hereby certify that I have read on,l Pll'limed this allyl'til,„rr',:Iii i, ,.
reverseon side,and know the sante n h+Ir v and er I All r- I Bulletins
type of work will beallied with whether,Pecit r n,l rrel rn ' .:ii
..I
to glue authority to violtiro i„ 1
,a ,onl th,,,o „Cr,-,nl ow,.II .I t
performance of construction.SEE REVERSE SIDE FOR REOIIItteO INSPFC110/N, n Plumbing '1
DATE IIF APPLICATION oh/Pt NAlliltl ,n bye CJ/f)�.e eiga Mach, 4.17 -,c,_OFICIAL APPROVALS I SPECIAL OONDITIONS (-�/ - '
NAME DATE /ten Chock
Edr,0.5111, ,
PIMP.to .r -__•._-._._..�i �/, /
SEPA 4
Mobile Horne
I Other(Speedy)
rII1M.
TOTAL $ 17(a*7