1982, 03-14 Permit: 81A-7175 Inspect e
INSPECTION RECORD C
ADDRVISS
DAT REMARKS
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371/..4-1/42. -
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PLa""°"SER I APPLICATION/PERMIT (PERMIT NOMMEN
1 SPOKANE COUNTY—BUILDING CODES DEPARTMENT 504-111?., n7 (
NORTH fill JEFFERSON/SPOKANE,WASHINOTON 00860/(60014000076 �/�J '
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIESIr
.0EwSDD6ss 02* +2500
Fir /2Lv1 —�S 64
11
LEGAL DESCRIPTION—SEE ATTACHED
BLOCK su0IJIVIolUN •2500 4
PARCEL NUMBER/S
•25002. J/ QSkyveu flc.cs
OWNER PHONE •485-3/4/- 09osA :000
f
7G�vy AD,
AODRE60 ZIP Aetna,Sol Back.In Pool .r I i h L
E /2002 — 2��- swrn ISOAVI I r I 07-16�S'I
CONTR/Tg//�TOR /' ,�{{---- .}l PHONE w.'L S.
/•z D 0/ 1/f l.1c1;,. a. Perm Zone[Neuman.
!. ADDRESS �f '/ 1 /1 zip T t TV '1J AKi,�jw 00eeed r+ Y 6479 ,.
W 220R.%/A MCf/ B/✓Q t ' O91-2 eY SWInkI0 p•,,
DESIGNER PHONE V l r 1"�Z CIuilin ❑No ❑Ft.
1-� � Building Arne In 6p.Ft.
E' ADDRESS Zr: 'Main Floor 1�Upper Flews *A m
Gan.*Am moxa
CNANOC OF USc PROM TO el DOC. 'WM.0a Unto,.6•xment
B.
/ qrx xm•nt
)VPC m N[w ALIT 0 AO'N. ❑RPL ❑MVE. No.Bate. I No.StwN. o.Room of OwNlln6.
7' YO FF0 OTHER s�
won., 0 oLD. 0 PLM,. O MOCK 0 MM. 1 POOL CERTIFICATE ( Rp'e. I ROOM.
'Not e.
OUCRIse wdn em EXEMPTIONOI 'Notre.V
'. Ny• wo,o P� 'rum'
•sloe(Arab) revs COLLFCTEO
VALUATION / WATER 000RCE OAS ILCCTRIC R nevem ownership /um LODE
9.7000 UTl4TIE0j SEPT.c Puunc 0 Private D( Single '
I hereby certify that I have read and examined
ned this application and have road the"NO DCL"Ill(Ninon.included
reverseon me
side,and know It,,s to ben
true end correct.All provisions nt laws and rdlnarces governing this Cuba
type ofwork will be oomng illplled with whether specified herein vi not,The moili ,l nnrmil doe..nor presume M
to give authority to violate or cancel the provisions of any other stele of local low rmlululing nmviucbon m the
performance of construction'..BEE REVERSE SIDE FOR REGUIR ED INSPECTIONS Plumbing
DATE OF APPLICATION Y.. /�‘.D SIGNATURE OF APPI.ICANT'L�jtt. Mob.
SPECIAL APPROVALS SPECIAL CONDITIONS,
.NAME DATE_
,,,,04.104„...,00,..,,,,,, •
Plan Cheek ..
TI v Ig 'f.Y 7/6 \ //I 'EPA
Manearl - --- / r( Mobile Nam
Other(Specify)
n11 Exmlmr TOTAL $2'i•