1981, 07-22 Permit: 81A-6928 Inspect _ _ ___.,..e,,:�. x
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INSPECTION RECORD
cr LOTION
C1RACTQR TYPE dr /
N $ E W FINAL INSPECTION:
SET SACKS
I
DATE DARKS:
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APPLICATION/PERS R TND m
SPOKANE COUNTY—BUILDING CODES DEPARTMENT PI
X14 .G_
NORTX est aEFFERSOry SPOaANE,WA[HINOTON 89ae0/I00ei lee-ae>6 -d 1.
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES 7 ,
. oofless
6 x09905 r Ya.- LEGAL DESCRIPTION—SEE ATTACHED 04* 0,1400` I
Z I C wamvl • PWRCELnumeERrs .1 4.00.
OWNER .. ONE •l •1400,11';
3. R44U/f A1AILGf4A ROI` 9P2.t-,17/y
oogEss s v t• L.iu ZIPy9�i Acten sn eacF In fen A wQ OA Ova
C/23'I)r AYr
CO�fNTRACTOR J IF PHONE Norin [South Farl Iwgl
/>1A,dY/4f 'Yff fe L 9 SUe of P.rcn wCRMlllatlon
yy dF'd.cL
4 ORESS �../�. —.... ZO Q7.`1'3.8)1,,,.-
pConn Sne Dn
F/.1 7/0 /-.44.,.rS...S,cb...c.,. 4i4 49.1/L v..N°n O�°p•n o.., o° ❑ 'r'6II7.v
DESIONE0. 7 ONF WIIYIna qrM In SO.Ft°°.
5.
ADDRESS e ZIP main Floor upwr Floe,. Gran Ane 01w... ,{r, -
CHANGE OP USE PROM r ITO o!O.ch. I FInIMM aar.m.nt I Unlln 0.00.55 „y '�V,
a M.. I °oY
TYPENo.Belle I No.atone. Ne.Rooms INo.of Dwellllp. e
I.or
0 NEW, 0 ALT. ;0 AD•N.•0 RPL. 0 LIVE. KI} *.
O OTHER
WOflK 0 PLD. 0 PLMe.'4,O MECH. 0 Kn. 0 POOL CERTIFICATE IINPIL I R 5. PI RN'd.
of EXEMPTION I A r
o,E,S`Cg�IEE/WORN [num.Din, Lennon IArS.
a > CuA .0 GA s /w s s fy s r.,-,-,,,,,,,,‘
a�T/l s en mu c»Lucrro �'1”
l� A 1 N aOURFCS OAF [LECTRIO I q'TFR aaweR
S. ". UTI�ITIte Pull), OS.COD[ ,
S hale 11---
I l !a{
hereby certify that I have reed and exeminthis application and have read the"NOTICE'plovlslons Included
on reverse side,and know the same to be true end correct All provisions of laws and ordinances governing this "P
type of work will be complied with whether specified herein or not.TheeulMl-.
gcal law(E n acing c dots not nrou me k r
lo give authority,to violate or cancel she provisions of any other state or local law regulating p canstructlon or the s.'i
'performerlcs Of construction:SEE REVERSE SIDE FOR REQUIRED INSPECTIONS wwnbilp
w
GATE OF APPLICATION _9` /.. MON, /v.VI }'
SIGNATURE OF APPLICANT
1 EPROM.APPROVALS MEDIAL cONDlTIOa th y,Oa
x rr
HAMS GATS n
I Rnr.FNNIte y W.N'JWa,... rr Sc,,..s F.4/ .0.77,-it ^'" a
E EPAy •P d 4.
MITI ! i
_, ,../
Hem
1.
/)./•.^ Mobile Nas�-.
Other lepecovi t. 4 K ,c.1
rel,Eaamina - i • TOTAL $i%41
II