1981, 07-16 Permit: 81A-6904 Inspect p INSPECTION RECORD •
OWNER (LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS: _ -,
6-A4?
4
.ANNUMBER , - - c APPLICATION/PERMIT IT NUMtllR
I PR/� ��in�
R SPOKANE COUNTY—BUILDING CODES DEPARTMENTIl�
NORTH 611 JEFFERSON/SPOKANE,WASHINGTON 86298/(809)460.3576 1
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES • i
JD,ADDRESS LEGAL DESCRIPTION—SEE ATTACHED 03* •500-'v -
E. 9619 LORD •500-Ye
Gi• LOT OLDER suSOrvlslON PARCELNUMeER/s 0500$.
2. P A •
•OOOf 8
OWNER 926p-0392
a KEM1ETSR. 9YSE Actual N15..K.In Fal 6903'2
ADDRESS SN'E 2189206
CONTRACTOR .of Parc.l Suptn Zone CH"Illutlonat 0 7-1 3 81 ,,''
SOFT*VP SERVICE CO, P.45°57-'8050 2 64;79. CZI
't z Trp.Conn. OccUPan.V Spri.l.r.e
ADDRESS 25 11-ORD AVE 199202 ❑vas ❑No ❑R.W.
DESIGNER • PHONE u I Bu1151ne Ara l"se.Ft.
S' ADDRESS- _ Main Floor Upper boors Slow.Ara Stow. ''.III.,'
h
s
Ara or Dah. Puirieed B.Nmat um in.moment 4 I,
CHANGE OF USE FROM • `
a `` No.Baths No.Stone No.Rooms IMO.of Dwellings
T.". ❑NEW ❑ALT. ❑AD'a\❑R• ❑MVE. ❑OTHERH•
7' we 0 OLD. aE. 0 MECN, 0 . 0 POOL CERTIFICATE (
ORK R .M
of EXEMPTION L Ra'S. RaS. rot Req..
m,DIse. Locetlon(Ria)
& GE6CRaL WORKkATER SOFTENER B"" Pm COLLfCTlD
VALUATION.SOURCE OAS I ELECT C WATER SEWER ownsoMP USE COOS j •''
9. UTILITIES Puela DPrv.M 0 Single S
1 hereby certify that I have read and examined this .plication and have read the"NOTICE'provisions included
on
reverse
aide,and know the same to be true en. orrect.All p ovisions of laws and ord re Ices governing this B51MIng
type of work will be complied with whether spenift•herein or not,The granting of a permit does not presume ...y',
to give authority to violate or cancel the provisions A.ny other state or local law regulating construction or the plumbing —6.40. -IF,
performance of construction.SEE REVERSE SIDE FO REQUIRED INSPECTIONS
Med.
DATE OF APPLICATIONf 1;41, SIGNATURE OF APPLICANT arra.__.. '
APPLICATION_
SPECIAL APPROVALS SPECIAL CONDITIONS: PimCheck
NAME DATE n,,,TINs.pt*' 1'',(
SpA
19111111011 Mobile Name �h �i
..Marshall iAl
Other ISpaifni
Co.Enolna.r
.utnnl.s TOTAL $ 5.00
•
Plain Eamin.rloom....onu.ue.ro i in
1
4