1980, 05-13 Permit: 80-3916 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
g4 rD
- 40
-1(
-/E-�
(/
Cry r . ry _ ttica�
NINISER
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
ADDRESS
I. 4 TP
3, 0.. Goo ,t.t.• CLUMP -GU i
ADORE.
E. 4044 -TM
CONTRACTOR
SAME'
ACICIRESS
4.
SI.Arne
LEGAL DESCRIPTION - SEE ATTACHED
MICROS
5.5.4-1SIOrf
Cse
qq207-
PHONE
ZIP
PARCEL NUMBERS 10-(t .GL.K,s-
CAP,. KoPc
bS 32 -344z.
Actual. Sol In Fmt
Nath South 50' 100.1 as'
am claudication
156'
Ove, ONa 0 Recee.
SIM et Par.
X A4RICAL-rulkft-
Type COM. occur/anew SOVMNIM
PERMIT Mt/PACER
— ..3?/b
OESIONER
• AOCIRESS
INCOME
ZIP
SHARPE OF VIM FROM TO
youvron
17,2q0. gag'
Main' Floor
Rely 01 Dm
Banding AFIN In SE. Ft.
llogne Flaps Otons Atm
SSG.
7. r NEW 0 15.0. 0 AWN. 0 RIM- 0
OTI•Ele
ELO. RM. o WICK 0 M.N. CI ma=
SIM..
Iinlows seaman,
Vntln. CaMT.Ont
No. Sates Na. Slam No. Room e. of bwollinet
1.5 I 1 11 6 14
CERTIFICATE
of EXEMPTION
1 0-7
/INN I Rea el. !Mot NNE
Iv
DESCRIBE WORN [num. 01.1. Location I00 saoss+A., 'Ant. X)E.S ...Deiv 4,-,49 Le ,Ar--
k-nAge,kg Public Pricate lie
OwrIRTMO
1 hereby certify 0.11 I hey@ read and examined atiolor.dim,, and INN, ieed 111, r•. • • 1.•
• rrrrr se side. and kn. „the Same 10 be true end cortect All {A c...4“0,15 of • • .mr., novem.mi
type of work will be complied 00,0. whether spoc.lied herein he [HAW°, '
to give authority to violate or Cencel the provisions ni any 01110 State ni local •• •
performance of construction. SEE REVERSE SIDE FOR REOUIR ED INSPECTIONS
SO laCE r OAS !(000 0I0
T4.74114,11 SEWER
LIVLITISS air AMPTIO
D ATE Or ANL/CATION
OFICIAL APPROVALS
Mts. DATE
VSC COCO
FEES COLLECTED
S
EVIlding
Phantoms
CIGNA / I Pf rv- APPI
eft,
Rao Chock
En. Irmi•
FP. Mirth.
DIAL CONOITIONS:
--PLAP•S PRI '04, WRY.]
•
SEPA
Mobilo Name
ORIN ISpoolly1
1.01TtL-4130.0 0
v/.2 vat,
ADDRESS
T a D 6 Z,PERMIT NO. O /-6
SPOKANE COUNTY
BUILDING CODES DEPARTMENT
CORRECTION NOTICE
This work does not conform to the requirements of the Building, Plumbing and
Mechanical Codes in the following:
DATE. L: �` -5F0
For further information call Inspector
4:00 PM weekdays.
at 456-3675 between the hours of 3:00 -PM and