1981, 09-18 Permit: 81A-9564 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS:
).LAN NUMBER
ITI
APPLICAON/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH E11 XIPPERSON / SPOKANE, WASHINGTON 99260 / 1509) 459.3675
APPLICANT: COMPLETE NUMBFRFD SPACES - • !.•
JOS ADDRESS
1 ` moilslm
z. I
OWNER � `
1.oSN LO N STRUCi 1o`v
wooacH
E t. 1?. vita SP.K PASX_. s lA .
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL N1FM6EN/5
oNE
5�4 •LMA
Adm. sa. .
/arm 69914
1, H
CONTRACTOR .
L MA- 1F1PHc NGS ? Ate. E11No c...J (�
AODRE55
F'. 4 C .0E %L E e`1C.
PoANE ... . .
DESIGNER
5.
484.95E I
SUN fol P.P•1441
�9ao8
TEP, Conn.
PHONE
pn1, n. “11111.110.05010n.o
01,00 Spnhler.
Ov.I ❑n1, .'1 R.9.6.
lalry .. In 49. Ft.
Valmlion elAr
ADDRESS
ZIP
Mein Flom
Up.* Float OM1) AIH
5,0,009
CHANGE OF USE F ROM
6.
TO
TYPE $ NEw 0 ALT. 0q �A.-.49D�•N. 0 RPL 0 rm..' WORN 0 ELMt
O. 0 PL
s. 0H. 0 M.H. 0 POOL 0 OTHER
ANS of DONN f PInNnW Sow. 1
No. 01)11. I No. SINN, No. Rooms IN.. 41G .1,00
ii
CERTIFICATE 0.0.0.
of EXEMPTION
D01111. BaMm.nt
OSSCRIRE WORK �(. {✓.t=.
H E.eaNIIwnce
V TI GAS [LECTRI ATS 1 SEWER
A
STILTOURCEIES
Emla.Ont. ILoutgn1A<H)
Cm north 1p
PunnO OPrivte 0
USE CODE
1 IHleby corlily that 1 h9.•0 /earl and Pxalnn4J 1h0 appkca..un and 1,a.•• .,•..1 II,.• tt,,i:I
/maneoo tide. 0 o1 L d,. 1 n he Iu,o .WI c AI' I
tyta0O,
0) wk will 50 c moped v, v.M:lhel . 4,1,701Aemal . T1.0419110l,,, . .
to Slee aulhollty to waste of caol:..l DW p ,n o 0IlS of a•,i, 011 / .1.11..:1 1,31 I.1.< _, -
MKlorinarc9 of eo,mustIon. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE or APP.-WA/10M- e.. L.
ENCIAL APPROVALS SPECIAL CONOITIONEI
NAME DATE
nm9
GPIs. Eaamine.
FEES COLLECTED
Snits S
Pu.W,ry
PWmblry
MNP.
PIM Ch.ek
SEPA
Noble Ho N
0,5., ISpet.10
TOTAL S \ 1 (-C)
T/l i1A 0'15,6'
*19.001
•19.00
• 1 9.000
6000 8
1630
09-18-81
0' 6'479.
7.