1981, 10-12 Permit: 81B-0441 Inspect T
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INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSEW FINAL INSPECTION: / E
SET BACKS
DATE REMARKS: /
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APPLICATION/PERMIT PSNMIT R
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SPOKANE COUNTY—BUILDING CODES DEPARTMENT SIL*-0441
NORTH Btl JEFFERSON/SPOKANE,WASHINGTON 99260/15091 ab8.3875
APPLICANT• COMPLETE NUMBERED SPACE:; I'I'l-'. ,l T(' _ Y'' i
E, aloe ADDRESS
1. LOTB. BWS 21stLEGALLEGAL DESCRIPTION-SEE ATTACHED 04• •17.00,:'.
PARCEL NUMBER/S
& +
1700k.; ,.
a "Dave Hoag. P928 w6108 HoNE
•1 7.009
ADDRESS ZIP Actual .I ac In Feet — Q sQl1'I J
Y. 12123 21st -Spokane.WA 99206 norm sown 'w.a' 4&0 i 9• fit
CONTRACTOR PHONE Sim o1 Parcel Erne Classification
'•, Valley Fitepleoe. Ino. 922-2780 10-1.
ADDRESS2 Ty.Conal. OCco5anuC Sprinkle..
S. 18810 Sprague Ave.-Veradale,WA 119057 Dyw DNP 0 Reap. I .
•
DESIGNER Contractor Specialty PHONE valuation Building Area In Se.Ft.
. E. ADDRESS BD. VA Lea AE MOD DB11 I ZIP Maln Floor Upper Floors 0.r.9.Area Slu"ea
CHANGE OF USE PROM TO Area of Des Finished easement Un1 n.Flamm.nl
No.Baths I No,Monte No. e IIn9.
Rooms No.Pi Ow
- 0 NEW 0 ALT. 0 ADN. 0 RPL. 0 MOB4{0 '
OF 0 OLD. C PLM.. 0 MECH. 0 MX
.. 0 POOL OTHER
WORN CERTIFICATE Rap'o Redd. of Rep a.
OESCRIEE WORN of EXEMPTION r _
S A 1 Blase Sins stove//Pro-fob chimney. Enum.DNI. cul on ODE(AreaFEES COLLECTED q r
V LU TON SOURCE GAS I ELECTRIC WATER SEWER Ownersn P USE CODE
9. UTI CITIES Puplic 0 Prlvat.0
Single S
I hereby cattily that I have lead and MOM tilMO this epplical lid h ...
on rev.....PIN,end know thu same t0 be true and Cmlet, All iirof, •. - .
Building
type of wmk will be complied with why ihet specified half,I' I
to give authority to violate or Cancel IIM IIIOVIDOOS Of DIY 1 •.Pat ly
performance of construction.SEE R VERSE IDE FOR REQUIRED INSPF l I'.N' Plumbing ,,EA�
DATE OF APPLICATION.f 0 SONATIIIn r r\PPI rnr gK FYaSL/�Mech. iP 11.ca
MCIAL APPROVALS SPECIAL CONDITIONS; '
NAME DATE Men Check '
Ready now for inspsotion.
"....-_ -.. sEPA :VIP
r.,
_--.— ` / A Mobil.XarR 'Other IfPMllyl •TOTAL $I?.00