1983, 10-07 Permit: 83A-9896 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
/O 7 -e31 ' 07('
PLAN NUMBER APPLICATION/PERMIT /WERMIT NUMBER
SPOKANE COUNTY— DEPARTMENT^F BUILDING&SAFETY I <}j3A--M6,
NORTH It JEFFERSON/SPOKANE,WASHIN.,i ON Nri4/ESUS)4643616
APPLICANT:COMPLETE NUMBERED SPACES—(PRESS HARD TO MAKE 3 COPIES
STREET A000EEa PARCEL NO.
1. 13008 E. Semro •
LOT SLOG( I tuadv1Nal LEGAL DESCRIPTION:
2.
amenNgNE N.. .
3 nn Witte®rer Sze-azz . Acton N •
MAILING AOMSsf M.o. M
13008 E. Semro Spokane EA_ 99218 rerN 1..... �^ I �',
CONTRACTOR ft EUNIIEE NAO. RN0 A.A. I Zone Char Je ya
6, Valley Elrealaoe I1h/Ra DP
4.1
Osrorsono/Aop S. 16610 Sprague Are. Veradale.WA ,99031 I DYE 0w DRww.
OEHONER .f.� N0N5 o..Conl.Va... Room*v...,1.. Tow moa.seer,. 04. •2000
3 Contr.License pALLLF-177C5 r. � w
.DOACSE I�wP.fmn Io.o N. I" •20008 ...
ARCS of INS FROM ITo m..CNA la<..Oa IM.eso...wM Iuite�.._. A •000 8
6. o. 98949
TYPE 0 NEW ❑ALT. 0 AO'N. ❑RPL. 0 MVE. ro'•ei°• Na floors roe M.Rmn 'w O.eiNp ,. E.
7. W OSLD. 0 PLMS.0 MECH. O M.M. 0 POOL 0 OTHER re,Eye I y�yd vo0 he0 inn*.
1C-04-93 .1014
WORK lb! v.0 sN0 •G 6479 ^ l
Of SCAN.V0RR e b.u.onlfmaw,.e Ree l4Mntl0 A ,• F' /
6• Installation of Convector Insert YN0 tea 100.0 ROI..*0
of
0As 10.50104 O off, C4,7 FEES COLLECTED 9 S9 �.
9. vuu.raN tmLIT�56 rloiEa EA ❑NhwO 1 i:-C4 '3
I hereby certify IMt 1 Mw read and examined Ins application and Mw read the•NOTICE'pfovlelona Included on 7,1
raven.side,and Olw.IM sem.to be true aM coNM.All Provlalon3 of laws and ordlnaoc.a governing this type of
.111 be complied riln whether specified herein or not.Ti,.granting 01•permit do..not pra.um•to plot au- Hahne A
Inottly to*1014M or cencR pm provisions of any ether stale Of 10041110 regulating construction or IM tornance
el construction.SEE REVERSE SIDE FOR REIrOUIREOINSP CTIONS N...Slae
SIGNATURE OF II
APPLICATION / r2 ,
OWNERO'RE ENT e- .2/..---7,-,, 3334%%449 DATE 10 RJ M.w -7,2—
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
PARRA.MAI. OATS ti'.....'
tor Nato
R...% sfO Ilene
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V
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KEA TOTAL S�