1981, 02-06 Permit: 81A-1065 Inspect 1
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK �Q�
N S E W FINAL INSPECTION: /--/q-S---3 "'`"'�
SET BACKS
DATE REM RKS:
RANHUMMA
I APPLICATION/PERMITEq
SPOKANE COUNTY—BUILDING CODES DEPARTMENT P 1,717„,, .'MG1 O
r NORTH lit JEFFERSON/SPOKANE.WASHINGTON IMMMO/ISOS)450-36 6 �/t�l
y� I APPLICANT: COMPLETE NUMBERED SPACES-PRESS I IABD TO MAKE 3 COPIES /!V.
V.r LIM I DRI(IaGgUJ� e
ELUL LEGAL DESCRIPTION—SEE ATTACHED 3* •57.0 0
1 6rUN PARCEL NUMEER/S
Z — •5700 Y,}
tIWR 'A,I I
PHONE
a M►s►w..—,Y I� ?�6-�3 *5700
woDREss
` - 1334�F eE i�l. X9-;>��. .7:7—°"1.'"„:" _ Fl •0 0 0 e
ACTOq 1 I.......i— I U 6 4 P a
4. 1107 0. �'L..IJ 1�I'I G, �38-_21%;
�I� u.or Parsee zonron
u • 51L'�lr VrV� �t��� TS.CO.. 10000.00Y swmkWO „.,0424112-17100
�,� AC„4:d q�
DESIGNER PHONE EIVN ONe ❑Rp'p. V•.`
Q V.patten Gullelna Aro In So.,
ADDRESS
ZIP Main Floor .
I Upper Flows Gam.Area I Storage
•
CHANGE OF U9[PROM ITO 4 0l Dee. 1 FInIMW easement I U .Basement
Q TYPO ETwcw .0,ALT. ❑wow. ❑Rpt ❑NUE. No.a.IK I Np.Stwln No.Rooms IND.of 000,11na.
0
WORN 0 OLD. L MAG.. 0 MECH. 0 M.M. ❑POOL OTHER CERTIFICATERace. ec a
I q ran qp•p.
btlCglE!WOgq� 1 EXEMPTIONO1
Q q/��..I/� LI "I�� Enum. In. ILD don1Ar41
OHIO ION '-IEn211jCI 1 FEES COLLECTED
SOURC GAS ELECTRIC 1 WATER 1 SEWER
9• UTILTIES J io
eub^Ic'O ern..OI Wf GOO!
I hereby certify that I have read and examined this trunk/ion a.have read the"NOTICC" Single E
o�'r side�and knew the same to bb True h correct.All provninns of laws old,n rlmaprOVlsion5 included /
type reverse
work ill to Compiled with whether specified herein of not.The Le$governing
SUIISInp /)V//�{-/`
to give authority to violate or cancel the provisions of any other state or local law re`I alae perm, Se t f
;mrfOrmonca f construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS gulal�n9 truction or the C-7 1
Mumeing 1�
DATE OF UPPLICATION_ae.��_(J/ _SIGNATUPE OL APPLICANT •r if.!�'rrg1�
MEDIAL wnRoont. h' " '.d6,
SPECIAL CONDITIONS:
NAME DATE
• f /JT .Jc-/ Plan Chock i
•
Girlq �, 3• �L1I�p� EEYA
Tu MOlta I I Ll'•i(�S
n.ln4r 2• ,1 M, S Mobu.WARSIs
m. I kl�•51fJc W N I .alryl I.
RrTnet • 1 iJh�t1 g7
TOTAL
I VL-.P1�KAIA�
ec s I n'p.� THIS SCOMEOF PERMI TF0IN THIS WAGE.
�•
THIS BECOMEb A PERMIT.
4