1981, 07-28 Permit: 81A-3663 Inspection CardADDRESS
DAZE RENFKS ,
INSPECTION RECORD
_24471.1) 47-ke-
NUMBER
I 407/v
APPLICATION / PERMIT ""'"'°'
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON / SPOKANE, WASHINGTON 00260 / 160614667616
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
Jos ADOR IES1L1S 'J{ `�11['1l / I�r� ICI
2
LOT ELI XI SU601VISIgN,4��C1 �1Vt� • V ✓. I I
PE81A -3660
LEGAL DESCRIPTION - SEE ATTACHED
OWNED
-41X"1101+. oJA� c ,Selo 1/1", j�Q• 3x45
/taw I
PHONE
. co sT4ciiit
4' ADDRESS
PARCEL NUMBERS 1& 4! . - 0,20L
ZIP
Oust th
6.t B.cxi6o m"i
U I Zaw H
C.Rflutlon I
t I =6" IW•t
856 3�
gr_Fonn pauwn
SW x
DT. DNA ❑ Rep,
1.51IGNER
ADDRESS
CHANGE OF USE PRO
6.
TO
PHONE Val SuIMIna Ar SO. Ft.
ZIP Main ' I UPPOr Floor. Ge.p.0r.1 Bt0re0e
Arm at Dodo I Finl.hm B.Nment I Unfln. Woolard
No. Baths I Na. Stwlm NO. Rooms l o of Dw.11lnya
Tye �� /NEW ❑ALT. ❑ AWN. ❑ RR- ❑ PAVE.
7, OF RR ET SLD. ❑ PLANS. 0 M ICN. ❑ M.N. 0 POOL 0 OTHER CERTIFICATE MAO. Roc 0tteENI.
w0 of EXEMPTION
oteC ID' WORN W U _, oo 1 Mum. Ol.t. Location (Amu YALWS ION SOURCE GAS I ELECTRIC WATER �SEEWEERR {� OwmrMlp et. USE CODE
B. UTILITIES • t O 09011c OPrN.N tl'
I hereby certify that I have read and examined this application and have read the "NO rh l' petwisimn inclnrled
reverse on side, and know the same to be true and correct. All provisions of lows and .,',I,,,, l es governing thy.
type ofwork will be complied with whether specified herein or not The granting of n mtnut does not presume
to give eutltoNty t0 violate or cancel the provisions of any other state of local law relul.,l.-•n construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONSS��G/ .
SIGNATURE OF APPLICAN— �_
DATE OF APPLICATION 'f ..i7 -9/
OPECIAL APPROVALS
NAME DAT
/aI
_ ANryExaminer__
SPECIAL CONDITIONS,
FEES COLLECTED
Engle E
Building
Plumbing
Mech.
Pla Ch k
SEPA
Mob I Horn
Dinar lSpxdvl -
TOTAL S !
020 *170
•17.00' t1
•17008
•000 8
A
I55?
04 -17 -81
d 6579.
CIE