1981, 01 Permit: 81A-1151 Inspect T
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR TYPE OF WORK
NS E W FINAL INSPECTION:
SET RACKS
DATE REMARKS: ,,
%77 n.�.,
T Ct 74 T / /V r r 1. 1 r i
alw
AP' 404104F
II
APPLICATION/PERMIT /It Doom,.? A--.i * J
SPOKANE COUNTY..BUILDING CODES DEPANTMENT "r 1" 4 1 �
rittimila
..oRRfr•r"....,.,o,o,....ay r IT TI lettEra •
ft
APPLICANT: GOMPLLTLNURSE nED NPAGEN=P R E 55 MOND TO Mnt(P.T LI IGIK:
nE
1_ 1�� _ P. -T1`I LEOYL Ot SCNICiION=NEE ATTACHED
WI EY R EVENITMIUIl :•••• Iailaro E --- *4- -1 1 I•�IAOI
X Irn ER ONE a 1 r 0tV
�. P!. 194c1R1 ,e,( X:2 1
i tavn C`I�P/y�1 Rllual AI fMIn ENI • aoy�-
� � PNvnC k slid or PPM in 'ZOOS clsmuo lonti A +
11502
iy AOGRe•a _ • ZIP TTW Gane. OpiuNfey . SorinElDM
❑Ye 014e ❑
DEaIANEA ® Isoilatoa Area In DS.EL z b479
E. ADORENww. ssr• a•
GRANGE OP USE FROM TO ^.
S. �
No.Bet. Ns.Marl. Ns.Rooms fro.of Chwilins•
7. UF. YTNEW 0 ALT. 0 AWN. 0 RPL ❑WE. ❑OTMER
r,wo 0 MM. 0 RM.M.
MB. VMEC«. 0 M. ❑PooL CERTIFICATE IiiiiiAliiiiiiiiiiiiiii .rt,r,
W EXEMPTION
& DESC IBB WORK -/t FEES COLLECTED •
VALUAT1 EODUpRCEi VV AS ELECTRIC WATER SEWER \I
UTIL141EE Public•PrimeB Slagle t
I,'
hereby certify that I have road and examined this application and have read the•'NOTI O'•prnvlelonn included "
on Taverna tide,and know the same to ua tennd acorrect,All prnvNions of laws and urrf,nnncea governing MI, SoiktlnP / . I.'
type of work will he complied with whether spocified herein or mel,The grsnbng of a Pon,doe,not pretums _
to viva authority to violate or cancel the provision•of any other state or local law iuWiarm,l uouatruction or lila • .
performance of cdr4truotio `/n.SE,/EREVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing -
, ..
DATE OF APPLICATION - -O/ _SIGNATURE OF APPLICANT CIO2.4.&J'/l a - Mech. I? , �5
SPECIAL APPROVALS SPRIAI.CONDITIONS: • •_.
NAME DATE P.check
1111
m. a "r w-,n�+r,}•... �,.. "utR49.aeM ' ..n
Vona as — CCi/C GG. eerA .....,.A \ -
PF
nreln-r
it
.. •
3.2
t Q .— / Other lap•cllrl
TOTAL E �...
17
•Examiner -
Jr
- WHEN MACHINE VALIDATED IN Tole SPACE, `Gxa'.!y