1981, 03-25 Permit: 81A-0604 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
_ _ __
APPLICATION/PERMIT ER TNUMBER wry
p.,ANNt,MfER SPOKANE COUNTY—BUILDING CODES DEPARTMENT Pett A- �O
i
i NORTH 911 JEFFERSON/SPOKANE,WASHINGTON 99260//5091 056.3615 DATE /—/Z-111
- APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES
.roe ADDRESSTr LEGAL DESCRIPTION—SEE ATTACHED
LOT BL K DEorB PARCEL NUMB
ERS`
2. G0M1)G6 Pal/A/ /Jn/651
n PHONE
a AO nu�Ne .STiFLGY 9.L1-AsaY A.nwr.nseta.y�EIn1«1 l0 I�ITe//•S/.J""
L 7/S— $Vi I5P.t. I e rI Iw. 2) ,�,•}✓ervRY
CONTRACTOR .NONE SI..of Parcel zon.coma..
. - - Ord.r4r -S 0 NOM, .r 3) T✓e
• ADDRESS ,• ZIP Tree Cann. Oeeuaaney sonnxrwea
I/. E ,�,y�_..._
aa Sy-emir/fog/1 I0. P o A.7 Over ONo 17 Rao, y.) 44...,,,,.......4.44.0-,...,. 94000,
DESIGNER
IGN R VaIPE11en 1011001Ar«Info.FL • ,t2.ItO
E• AOOAEEE zip OWL Aro II.«moLAl.. Al.. I III'''. 02100
• A
' NOP Gia 6660 TO Spilt entry 15115 ON Rancher
/AIiEE •00 0
tl. 6031
r/ WE No.Bath. I No.Floor. No.Room. R.c.Room 01 19 8e1
TYPE *NEW ❑ALT. 0 AWN. ❑RPL. ❑ E. WM.
OF 0ILD "(PL0 NECK M.H. CI CERTIFICATE f IMO, •ret R•641. 4 647q
Oak ME. of EXEMPTION
& D0DMEE WORN N/-444$4'?„,........ FEES COLLECTED
VALUATION fm�9{H OAS OLECTRIC ER [EWER ___
a. 'UMW. ■■1 Single S
I hereby certify the(I hem reed and examined[hit epplrcahon art ay.reap the'i TI siuns Included
v side,and know the to to be hue end correct All on 1 laws II V nnvernmg the, Redding
type ofr work will be complied sante
whether specified herein S hes•.antro•of a nt urs es not presume - "
n,ilannn.[ni slmchOn Ci the
n plus Euihoritv to violate o cancel Ilse nrovlSlOns of any o r:tare Or cal -w e Plumb,n9 --�0�
re
doe mance or conslnlrhun_
,,vi .47_04.•_7.11_l_ c/.SH rune•:. '�E'+•-.2eJa.. i✓___ Mon.
Y[CIAL AFF110VALE SPECIAL CO�ITIONE: .rp lMen
DEPT. R[O'O.^#:.. RECO. ,t• �.-_#.i SIPA h«k r.ar•
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