1981, 07-08 Permit: 81A-6779 Inspect 1
c
INSPECTION RECORD
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OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
5-/e./ 71-.et-h /
PLAN NUMBER 1 APPLICATION/PERMIT �)
SPOKANE COUNTY—BUILDING CODES DEPARTMENT IyY�
'/J� �MIT nU q
N VIA'
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NORTH ell JEFFERSON/SPOKANE,WASHINGTON 00260/1608)a6&36)6
1 ' I APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES 16yvt.„
B ADDREES3SS3 7 �.t
Lur 'BLRLK IRunulUlelhN~ AU6
LEGAL DESCRIPTION-SEE ATTACHED 4'• •1 9.D 0�
y I PARCEL NUMBER'S +1900 Yn •
OWrvER •
'7lA('� -[fQ�-C
PHONE
T
3. '^ 42•=1.---r-(70 •19008
oDRESS P •000 8
ZIP Actual set
67781• ,
ozqrNAvF lZ 'Zero Perm •. •cl.nneaWRnn
07-08-81 IrEACfIU� Q Ric 4.53P-FvA9
3Z2"i 7V N. pL •
P >>,�., Type cont. Omewmey 501(0000.. E 6479. a
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DESIGNER
PHONE Val Ores Oleo ❑eve'tl.
E ADDRESS
uallo. Building Area en Sq.Ft.
oon Garage Arm I .rage
a.Floor
CHANGE OF USE FROM • ITO
e, / ZIP Mgrea el D.slr PI F nper llMed Bewm.nl I U Iln.Bewm.nl
TVP! pB wry ALT. ❑AO'N.• ❑RFL. ❑M No.Barn I Na.Starlet 1 No.Rooms Ileo.of Dwelling.
7, OF
�Mecn. 0 M.H. E. IJI
ORN 0 BLD. 0 ELMO. N OTHER
a roOl CERTIFICATEORp'e. I peg d. S1oi Ree'tl.
°yK of EXEMPTION
8' P�IxB wJtFAT'¢2 $ �F I PI NG 1 ZS.�y']'4-1 L4\! Em,m,Din, 1"""n tA0u1
VALUATION SOUgCE I OAS I ELECTRIC I WATER rr SEWER fEE$COLLECTED
O• UTILITIES I OwnerMl� I W!CODE
I hereby certify that I have read and examined this application and hour load Me"Nelle❑ feat.D Single j
on side,and know theesame totbe true and c id rrl l I1 1governing included
typeolrwork ill be compli d with hether Drerein oi ed.All nun.iThe of laws and pe lwil l o sotpes thism
to con authnli[y to violate or cancel the provisions ofaany other star!o digital Ilaw ing�'nalln,l,: does not presume euedIng
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS �� ""-tion or the •
Numbing
DATE OF APPLICATION__��,�_` E SIGNATURE OF API,!CANCu
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SPECIAL APPROVALS SPECIAL CONDITIONS: -_ "' Penh. I�I.QD
NAME DATE
Cm.Hxlth
Plan Cheek
'�rj1I • s f:-/ Mobil.Horne
Other ISP.cifyl
Vibe.
tP •ergmins' TOTAL 8 c..'
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