1981, 12-01 Permit M81B-1641 InspectF
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
PLAN NUM.Eq
-JI
APPL ICATIOIVI/PERMIT
SPOKANE COUNTY — BUILDING COI ES DEPARTMENT
NORTH B11 JEFFERBON / SPOKANE, WASHINGTON eedao / 1609) .1000876
rlrLt I t Mt/Mnt11E1J St•ACtS — PRESS HARD TO MAKE 3 COPIES
Joe ADDRESS
ji E. /e4T:AsoLSSt )
LEGAL DESCRIPTION — SEE ATTACHED
2.
OWNER
a 6LENN HopwnJs
ADDRESS
PHONE
47c. -dAysra..
I
E • sas ry11S51r»J
ZIP
QaOVe
Aav eI Set gam. In Fen
SCONTRACTOR 'SOLID
ADDR.rE�SS
PHONE
Sloe b Pernl Zono CIDOMallon
�p`','A��
DES. IpNER
Tree Conn. I °coupon. malnW
Ospr
Vet ONp ❑ am•e.
ADDRESS
PHONE
Palmlike eWWON Arm In SO Ft.
DHAxpE OI uaE
ZIP
Melo FIPPr )JII UpperFloe. O.r... A Stoe
rm r.e
FROM ITO
Arm a/ GpbI [Finite. easement I Un In. easement
r.. B
7 or Nl:w D'N. ALT. ❑ wO RPL. 0 ME.
WO RN J 0 arm
0 ow. . 0 PLMB. a MECH. ❑ M.H. 0 POOL
DRbontoe
Na. E.tea I NO. EIptie. N. RINo. or Owelllnpt
lVi
CERTIPICATE ',ppd. Res tl, ryol Rp•d
el EXEMPTION
worm
A �k`�6e
LlMoNNA)G IN]alr
VALUATION
Room. ONt. Location !Arm)
I fbE8 COLLECTED
SOURCE OAS ELECTRIC WATER
8, -, IUTILITI[S I I I SEWER
b
Own.lp UBE000E
Public DPrimly 0I
I hifilkicortify that I hew rued end elemined this epplloetlon and hove reed the •
on MOM side, and know the Berne to be true and Cornet. All provision, of law.
OM. of `work will be complied with whether !twitted herein or not. The g
.to glue authority to violate or cancel the provielo o/ any other state or loafoc.l law
%perlormence of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
NTelnEl $
ad
andgoverning
ordinance. goI inmtthishin
of a permit don not protonicBUllding
regulating conatruollon of the
Plumbing
1rL
DATE OF APPLICAI-/sSIGNATURE OF APPLICAN* �.w.Nt t,,nW; y Meth. AZ•cS'M
LEGAL APPROVALS
NAME DATE
6r
SPECIAL CONDITIONS:
)))
/
/
Cc. En6Incar
Other
Zillion
TOTAL S 17. clTh
OGe •17.00 :�
• 1 LC 0 Ya
1690f
1.1 - 0.9 -4
9 Np7hln
iY