1981, 02-04 Permit: 80B-4953 Inspect ___
INSPECTION RECORD '
t' ATO
'01f{ACTOR TYPE OF WORK
ft S E W FINAL INSPECTION:
SETSACKS
1,17
MATE REMARKS:
0
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1 APPLICATION/PERMIT 11 PERMIT NtILNM
SPOKANE COUNTY—BUILDING CODES DEPARTMENT r 1 1308—4AS ,
NORTH 611 JEFFERSON/SPOKANE,WACNINOTON BE200/10051450 3616
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES . '1:if/liii,
J ATS ADDRESS
t_. £. IT�'11arne /0"41. LEGAL DESCRIPTION—SEE ATTACHED G 4+ v1;
mors BER/S •1 3
a � Ren ktRfl �af�avav PARCEL M F n •R3o
oa.,
ADDREM`_ LI Actual SN Backs In Feat I 5952 d
COOTrryy0�106 '9a IG Nor o1 Iseuth it IW.
L .m.rzJ .�/s PHONE_saps-
-
zone Dlwnuu°” 12-17-BA
-seer�_pR z �' Type Co.. I Occupancy 6 MkH..e E 6478
�'_"" r1, ❑Ta ONo ❑Rp'1
IpNER PHONE V.lu.tlon EUIMIne ArM In M.Ft. eMA>aM1(1�
—,AODREY Y1 r.,.r....
ZIP M.Floor Upper Floors Garage A. Sterna "'-"'^ST`{
CHAIIO!OI UM FROM ITO A.of D.1 I P101MW Nanrl.nt
Ielm.Eawm.nt
No.EMbe neStrW Na.Ne,Room N.of Osmium.O New ''G ALT. IlfmrN. ❑RPL 0 MVE.T' OP ❑OTHER
WORN O 8..D. D Pun. q.cH. CI atm_ 0 POOL CER%TPICATE ( RAM. I Ree E. ratR.EV.
_
M:
DESCRIES! d( ileP Enum.Dm. tion IArMI FEES COLLECTED
'piIL
k,./ ...../Cor10E •AS E_L.FCTEIc TER SEWER 0rin.rmlF USE CODE `
21k Os.
0. 8TTIEO (.�JI[� Public Qnou.I.❑ 51040 $ s
I hereby certify that I have read and examined this application end have read the"NOTICE' provisions included
on mere ails,and know the same to be true and correct All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not.The granting of a permit does not presume 0,..1..
to glee authority to violate or cancel the provisions of any other state or local law reguld[ng Lonstruct on or the
',sywfomMlwM of construction,SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
S�,, fin/ Numbing Q r'
DATE OF APPLICATION IG-/O ob SIGNATURE OF APrLICANI�A,P"`*'•-.. /�(! M.cb, g,b0
SPICIAL APPROVALS SPECIAL CONDITIONS: (/y
NAME DATE Plan Chuck ��
Ick YERSC: af.. ,..i.,,... . +ler
}115aM1 ElPA
*Vam.uull Mobile Horne
Co.Enalnite Other IBp.cUyl
Lwhi.. _
Arts Examiner TOTAL E J
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