1981, 05-08 Permit: 81A-4272 Inspect1
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSEW
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
REMARKS:
LLL
PLAN NUMBER 1 ' APPLICATIUN/ rumen',
P
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
af- NORTII ell JEFFERSON 1 SPOKANE,WASHIIa0TON ejaso / 15091 456-3070
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES .
JOS ADDRESS Lpl �i
f O
LEGAL DESCRIPTION — SEE ATTACHED
a. . )DIUIV/ 0a
PARCELNUMBER/S
OWNER , , /
PHONE
3 ADDRESS
ZIP
Actual Sat el.. In Fen
N«IK !Muth IV.
Tem
coNTRACTOR .
P
PNONE
Se
Eke of Fero! Nwllu
p • 0O0•r
:00'
upper Floe. Ona. Area Stara.
CHANGE OP USE rpore I TO
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G.AI,
Area of D. Ire Fla.. BaNm.nt Dalin. Baseman
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No. I No. Stool. I Na. ooma �No. 01 PO/01111W
1
O O•THER
T. WOR, 0 ow. . %FLNO. 0 MEC.. 0 ELK tbOL
CERTIFICATE R.'S. I R. a. �JOIFgTd,
of EXEMPTION l
OESLPIBE Wdnit�•
0-01".0. Iron I0real
FEESCOLLECTE0
Stns S
y��IALU0..ON scums a ELECTRIC. WATER SEWER
S. UTIITI[ahollc
owner.lp tae CODE
OPr Naea 0
I hereby certify that 1 have read end examined this application and have Ned the "NOTICE" proenions Included
o. ravens side,, and knOW the came t0 ter true end current. All provisions of laws and Ordinances governing this
' type of wolh will lM complied with whether specified herein or not. I'Ile granting of a nelmH does not presume
ro give aufhgrity to violate or cerw'el the provisions Of any other state of local law Iegululing Conelrugtinn or the
M<on.*rudtlon. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
BU lldirq
vrfne 02
Rro
0performance
Mach.
DATE OF APPLICATION SIGNATURE OF APPLICANT -
Plan Check
___.
SPECIAL APPROVALS
H NAME OATS
p1DIAL CONDRIDPW ..
WAW
Inv. H11E-
/ C ,...y:... ..
f
(kine
/.."'4.r./ /
. 011110IaPsalnl—��
.a neerj_
p' .a.tiE/ ...
TOTAL S 92r.
1el
na
J. ..44 e(
•
04 A '61'212—
NUN:
03• .2500
•2500 F
•2500x;
a •000 0
42i1i
05-00-8,1
i 6474