1981, 03-02 Permit: M81A-1957 InspectINSPECTION RECORD
i
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
3 -z -k/
PLAN NUMEEP
'
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH S11 JEFFERSON / SPOKANE, WASHINGTON 99260 / (80al 46-3976
t
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Jos ADDRESS
1, 10203 East 19th Avenue
LEGAL DESCRIPTION — SEE ATTACHED
LOT SLacK SU6orvlslON
2
PARCEL NUMEER/S
OwNER
a George Wagstaff
PHONE
924 9884
ADDRESS
4c0
ZIP
Actualc ual SN Backs In FM
$c .I$0o1B `4 I of
CONTRACTOR
Sturm Beating. Inc.
MORE
325 4504
Size or Pool oCRWf Iut'WW1
4. AD DR East 204 Indiana
ZIP
99207
raw Cons. oaaawn Soinklro
Ov.. Ono 0 Ra7'a.
06310086
1^
MON[
Valotion Sideline Aro ins.. Ft.
6
ADORES!
2IP
Melo Floor 1000.r Plows duo*Aro I MOO._CHANGE
OF USE FROM r0-
Armof Poole 71+10.4 melon linfln. Eamon%
TVOlD N[W 0 ALT. MOWN. ❑RPL ❑MVE.
OF LJ OTHER
7. woRH 0 8L0Q.H
. 0 PLMa. 78ECH. 0 M. 0 POOL
No. BHN No. Stades Na. Room. No. of pW.11lnea
CERTIFICATE ( Ro'a. Rat e. rot Rw'a.
W EXEMPTION
btSCRIEI WORN
a Install Neat Pump
Enure. Dist. Laotian (Areal
FEES COLLECTED
MOP* S
VALUATION SOURCE OAS ELECTRIC WATER SEWER
9. • UTILITIES j�
OwneMlp USE CODE
Peelle ❑Potato 0
1 hereby certify that I have read and examined'Btis application and have read the "NOTICE" provisions included
reverseon side, and know the tame to be true and correct. All provisions of laws and ordinances governing this
type ofwork will be complied with whether specified herein or nor. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
Iponniii1111nce of connection. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
8ui111
0.
Plumbing
DATE OF APPLICATION 2-25-81 SIGNATURE OF APPLICANT e_'
12:38
Msh.
SPECIAL APPROVALS
NAME DATE
J
SPECIAL CONDITIONS:
PI Ch k
SEPA
Env. Health
nMIN
Mobile Horne
1
oases
Other (Spscii01
Rio
TOT0L $,14.00
M
PERMIT NUMBER
151A— 1957L
04• •140.
•140p
• 1400'14
a •aOfl 1
19468
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