1983, 01-05 Permit: 81B-594 Inspect T
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INSPECTION RECORD
LOCATION •
r,. . ot TYPE OF WORk
c p $ f , FINAL.N $PECTION:
SET1AdItS
law
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PLA,N THUM.ER
SPOKANE COUNTY—BUILDING CODES DEPARTMENT F1 i R 8I o 'S!
NORTH St JEFFERSON/SPOKANE.WASHINGTON 99280/160!1.640675 e IE/ y U '
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APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD 10 MAKE 3 COPIES '`awn I V4"
.roe soDREss xis:., `
Lor ti S LJc1l auultrvlsld� LEGAL DESCRIPTION-SEE ATTACHED
N P ARCEL NUMBERry OWNER
ANy1 SGI 04: k� ` I •
D �� I � ufiA 'f 3�`�{ wlSet e I P.. .1�1 v1..,,
A D0X 2;7(05 GS 29- (03 EN ate eCkISO., I e. w. 5Q31'
e''" 61 rya` 4H ! I: r Parcel �,.Classification`t -j'. �',`.,
ADDRESS IV ZIP Twee... OmuPency ieSWIM... - ` 'oc sap
DESIGNER PHONE VIM Building Area In Sq.FL
6' ADDRESS Ills SUM Plow I Upper Flours Omem Area Storase I i,'"'
CHANGE OF USE FROM 7-PTO Are.of Decks I Finished easement UM..Basement +
9.
TYPE ALT. 0 AWN. ❑PPL. 0 MV[. NA Baine No.Starlet No.Rooms ro.of[swung. _ 4u�.' „
7. OR 0 SLD. C PLO!. J ❑OTHER
WOAK fJ M[CH. 0 M.H. 0 POOL CERTIFICATE r Rea'a. Rec a, IHOI Rp'tl, ,
ORRIS!RIS!WO0H/ of EXEMPTION
]I.N L
a DO a"IO U 1Loat nn""" FEES COLLECTED 6 .
V L ATION u,eE OA! ELECTRIC WATER SEWER Ow USE COO[ 1{
S, UTILITIES j I I Peelle OPrivate 0
Singe f
I hereby certify that I have read and examined this applicatavi arid have road Ibu 'N 1 I „
on reverse side,and know the same to be true and correct.All provisions of lavas k .�I• '
pe f w rk will be comp)ed with whether specii ed here) nor.The II a oo,.v ,,. Building
ty
to give authority to violate or cancel the provisions of any other state or local Clow.n., F±
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
T `� /� �f /lie -� n �-J • .4:.4't
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DATE OF APPLICATION r .i; D( __SICNATURF OF APPLICANTI ys�-L.4/W1'TLCAI2 _ Mob. I! 's R
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MOM.APPROVALS SPSCIAL CONDITIONS:
rDATE
Enna••••101 Plan Check '.yyam
NAME ,r'1
Wannlne -
SFPA
r.MaeMall/)
Mobile Home
o.Enelnee,
Other!Specify! hQ ,s
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MA lAaminer TOTAL S I7 - - -"4.,.. 'yl,
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