1980, 12-23 Permit: 80B-5192 Inspect T
`J
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
41-A5
4
T —
4
Ni UMS[R 3 lo v a , 6.Sxs ^a. APP I A • / S. .Y^�_ �... - PERMIT NUMBER '
• M �-,S(617. � `(�SPOKANE COUNTY—,BUILDING CODES DEPARTMENT
'''16•=-4 - NORTH 911 JEFFERSON f SPOKANE,WASHINGTON 99280 Y 15091456-9675 li(
t' APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
JO[ADDRESSLEGAL DESCRIPTION—SEE ATTACHED b 4• *TOO
g„..„'"1
(� 110(�] t"� I) PARCELnpM •200 K
4Ar�/LOC S OIVI O [ER/S
,I 2. .20015
rrvn[R N •0.0 0
3, DDRESSNouse or At-IATNINt,LVVL t(.14-Ass52.c'-i0\S aua s.r e
f . . -P.o.
ADDRESS O h I S 19.I'1
*l t--16C, Qq E Sit.or CCCI a.kNona lsa I ion.cl.wm5.1107" 1 2—2 3-8 0
CONTRACTOR HONE
'',44,4„,iVI ADORERSf ZIP ivw carol. oa9p.505 6479.
Spa�•� oY.. o�.kloR«•9.
.''nl? — DdlonER PHONE 0.mauon amlmn9 Ar«n sR.Pt. ..,
y; 6' ADDRESS ZIP Main Floor Upper Floor. Garage Arm Stamm
y CHASES Or USS PROM ITE Nor earn O«ka o SrOrw�S...nr.ROpma Unlln.Sewmenl
6 111 N r Ino pr p.r.11lnea
rvn �raaw ❑Alr. ❑Ao•n. ❑APL. ❑M V E.
' WORN O SLD. 0 Pure. R'MECH. ❑M.H. ❑POOL O OTHER CERTIFICATE
a of EXEMPTION
`_Q[SC�RISEE WORN F� ��.�.0 ""n'''' LO«UOf IA!.) FEES COLLECTED
..,1''.i:,.'` 1 a 1iploc 71 IA(AP is. ows ELECTRIC 660760 orrn.rml9 USclik E coOE 7
'' . 9. VT7Cicul rRlc wnreR Pumc❑Pr«u❑ tm9le t
14
' I hereby certify that I have read and examined this application and have read the"NOTICE uv sions included {
on mares Rda,and kn9w tha Gama to lae trua antl correct rAll I Is of laws a w o II :es rover 1 ng the 6uudmg
• type 91 Work will M tompl ed with whether specitec here t Th grant ng of a pu r at rdoes nut p esume
, to give authority to violate or cancel the provisions or ems,oth te local law regr 110 colon- non o the
r,Ey performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO S . Plumbing J
•' / pp11 4'1� TFC
DATE OF APPLICATION !� �3 AU SI(iNATUNL Ur APVLICAN — — Mach.
• SPECIAL APPROVALS SPE IAL CONDITIONS: Plan Check
NAME DATE
nma
P.
a Mobile Homa
n IJIaHFall
• 3 other 1SocltOl
�' '' 41
1 a ss " T r 7i T a, a .t,14,14.,=a10-1
.:Wrs a4 �,. . '�; � ^`k , � �# T,3Lrlil k^. ir.e .41:1 'e Y } tY 4,C , 17