1981, 01-22 Permit: 81A-0412 Inspect T
`/ INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE .._» REMARKS:
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N"""°"°E° APPLICATION/PERMIT T NDMB°R '
SPOKANE COUNTY—BUILDING CODES DEPARTMENTH f/I X64 h- 0 12 ),(0,1,V
NORT911 JEFFERSON/SPOKANE,WASHINGTON 59280/19091 406]575
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES •
DDRESS 04. +1400 •
t. LEGAL DESCRIPTION—SEE ATTACHED +1 40 0
lAT r 44p� VISIO,~-1-t.SOIPARCEL NUMBER/5 �:
ERPHONE A
aRI Ler' gar-�t s 1_ .000 8
3. ADDRESS E�SK1iLTt�� Anucl Sel Eocka In Fan 4 1.1 t
CONTRACTOR UM A AtCAIR L-rr 5,�..G4 coqq1 aoc, la.km I.. IwwI
�O7NE sl..or Ferrol zone CIaseBlapon
4.31).-t 4tc.hSt('tC Z )'\fi C.oNIDlTltNdvc -gSB i 4 6
MDRpa SIP is.OonH. G ccdwnry WOMB.
C. 4 ,.;F Al Cs .SFlr.JST' s I, `r\�s( ❑v.. ❑n. ❑n.v a....e.
DESIGNER PHONE VaWe«on ...MI m av,rt
Area .;,yc.
, °
5. AD Fe
DRESS ZIP Main Flaw Upper clog Oerwe qrN Stories
Os CHANGE OPPP USE IRON ITO A.of Docks PIn1Mea Basement I Untie.Basement
TVFE new ❑ea-T. O qD'N. ❑RPL ❑MVS. No Boas No.etr a Rae:. or D..eI I—
7. TZ
ELe 1r ❑OTHER II ^e
room, rusts. '<ecn. O Mrn. ❑POOL CEITIFICATE w Re9'd. eRae'e. �1e1 R.NNd
Dc 011111 WORK .4 EO%EMFTIDN
t. Lounon(grwl
NES COLLECTED
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YAW,10 SOU cE OAS e E 'jrlr I w FlR I eewER onmermlF r WI CODE
Ichor I hE JiTfy I RIM ORN.ete❑ 91nab $ `
I hereby certify that I have reed and. d his eppl'aMlon and have read the"NOTICE'prOvlllone Included Jl
on reverie side,end know the same to be true end correct.All provisions of laws and ordnances governing this
type of work will be complied with whether specified herein or not.The granting of a permit doe,not presume Building
to glue authority to violate Or Cancel the provolone of any other nate or Ieeal law regulating combustion or the
perfermanee of conetrucdon.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS �� Plumbing
DATE OF APPLICATION' ,�' 81 SIGNATURE OF APPLICAN Se._&JS.S .o...Q..-- Me.i,_
"MVOs MTRISYIIH SISC/EL CONDITIONS!
e1U rims UnaEe I ne'.
a 1.0,,, _._ .._._...— BEBE "ase
ra Ullitall --
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