1981, 02-04 Permit: 80-4339 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE SET BACKS W FINAL INSPECTION:
DATE REMAAIKS: �•Gs= -
'� (-3'`C) roo rs po veEp E2 4//..
(Ye
5 FY , /FR d'Me- . op ' ,
uz .q//S' /
/1/4--/frip
1 .5", Pa/70,z_ :Gy� ���'Pcop
� � Tn r
AN NUMBER 'PERMIT NUMBER
NORTH ett JEFFERSON/SPOKANE.WASHINGTON ppe60/MOW.6.3.6
APPLICANT' COMPLL I f NI IMREI;I It .1•ii,FS I'I'., I'.!l TO MAKE 3 i_t h'llJOB \ _
111((t /Esus [�/` LEGAL DESCRIPTION-SEE ATTACHED
0414(e.,,fatvaSi,1.(�, PARCEL NUMBER'S
2. 2254/—i2oyf
e�tayy ,�,,� W,4.0'of te73 V-E.2a'4474Q4-K/
t1a..Lai4 7i � 92b-7. 36 Qi-v'E.oiRD Aoeirial
ADDRESS in Mast
/.9 9/e 7z�e,44.4. tlr� ,�.e.r 992/G A teak 7�ark�se�t1,2S East S!.
���lWte
t
PHONE SIcel /WMp �
S
e4. O
M ZIP T Const.4I Occupancy sniInkl.N
❑Yes ❑ o nag,
gPHONE on Building So Ft.
5. ADDRESS ZIP UPper Floors Oe aSors
Storage
CNA..OP USE FROM ITO u o1 Decks Finish. Sam ant
e.
T.PE a SIVE. Ne�ste,N.� p!Rooms INe of Dwelling.
NEW Ll ALT. ❑ADM. R M O OTHER
T• WORN ❑BLD. ❑pLMs. ❑MECN. ❑M.N. ❑POOL CERTIFICATE R O. rased. P1X Rayne.
el EXEMPTION n
& sS p Enum.Ont. Outlpn(MM)
/ fEES COLLECTED
LlINT OAS SEWER Own;ramp A�arr USE CODE
UTI LIT'[ I WATER I u Ic❑Prly yI Single
I hereby I that I haeu
�• on reverse id,end know the seine to be 1100 All �I l Ies
Building
.type 01 work will be complied with whether Cil,e.
to gve authority to violate or cancel the Vruvsio•. I .•
peiormane or ruuuction.SEE REVERSE SIDE fUR REQUIRED INSPECTION:. T6p •
—
Plumbing
DA 1./1 ri ON 4 •i • ,
SPECIAL APPROVALS SPECIAL CONDITIONS: •�\Iai`r�a,gi 1LL✓i�T
NAME DATE Plan Check
SEPA
•
Mobile Hem. �/
Other IEpecllyl y/1p/Lf --
TOTAL $S(r—