1981, 05-22 Permit: 81A-4942 Inspect 7
INSPECTION
,ThECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS: �s
cZZ•$" .14:5000.
7
l
•
,.fi- r.,
L NNUMEER APPLICATION/PERMIT IPEaMiT NUMBER
/qSIR•-•41$
Z— 1 1 itliAlid
SPOKANE COUNTY—BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON/SPOKANE,WASHINGTON
3675 a
APPLICANT: COMPLETE NUMBERED SPACES—acs Tr> fO MAKE 3 COPI f..
.1400
JOE wooaEss`r J p ,�� LEGAL DESCRIPTION—SEE ATTACHED 1/00 En
LOT eLoM ueoTvi3fo� 3 PARCEL NUMBER'S .14006
.
I
3. PHONE 0
3.
owaeq`, .
AIle ler� `IakZIP Actuai SM a Feat Lest r:v r.I
ADDRESS I
S/./401.4-.1.! North PHONE sig.of Parcel•ck'Soulh Karr Classification _-2 f;-F5 1
CONTRACTOR_ i� 3.2!—_r74,4 t r
•ne
w.L/r..T....w .1 Pr n,er. r, v.
ADD., ZIP Ty.Carat. I Occupancy I OYes Ow O Rea
/P>4/ � PHONE valuation Boll..Area in Sq.Ft.
DEeloncp _
ADDRESS LIP Main Floor I Upper F10016
yro }lI- Area I store.
CHANGE OF WE PROM ITO Arm of DeI F n.a .era.t In,n.Basement
B l
e
No. I . II raI
of TYPE O maw ❑ALT, ALADIN. ❑RFL El MVS. OOTHE
7
, OFq0 SLD, 0 PLME, 0 NECK ❑N,K ❑POOL CERTIFICATE Raee.drotw0..oa
of EXEMPTION
DEECRISZZ Enum. "'""°`
IA16al FEES COLLECTED
VALUATI N SOURCE OAS EL[CTp C WATE �RLVE n p USE LOGE /
UTILITIES Pueilc'O Pn.ats❑ AP
Sirloin S
I hereby certify that I have read and examined this application and h read the NI)I I'1 ' Itl"l
se side,and know the same to be true and correct.All p 1 .adding
type of r work wdl be complied with whether specified herein TI V l i 'I I
to Eve authority to Ablate or Ceneel the provisions of any other stai local law r a P10mb1
1
g
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
:h.^"�' DATE OF APPLICATION SIGNATURE OF APPLICANT Meet. /
' SPECIAL APPEOVALE SPECIAL CONDITIONS: Plan Check
' 0
,;7.,,::::,,,,., Env.Health 6EPA
t?' iin no Mobile Horn,
1.M.Nh.11
Other lSp.Oilvl
�04
S —
f n ., TOTAL s '
q �