HomeMy WebLinkAbout1981, 08-31 Permit: 81A-6613 InspectionrLPN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON / SPOKANE, WASHINGTON 99360 / 15091 4663676
APPLICANT COMPLETE NUMBERED SPACES — PRLSS HARD TO MAKE 3 COPIES
..roe ADDRESS
2. T BL1' AtilAI J ✓ No j
5 01 1
fl:10 6. o
a
• ADD.'1 g? I7 e l/kI
g , ��
A_M1
Y2114 3
990ICO
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER /5 In 553 — i I O r
ZIP
D ESIGNER
• ADDRESS
PHONE
Actual Set Bec k In Foot l5e11m act 'Wan 5
Sze of Parcel inunpy 'I
107 ?C 9.70 *n•�y1KIC/6L.I
SprIn
Trc'cpn.. I plran<r Oyer Ono 0 Bw•6.
Valuation II In 69. Ft.
*at37A 0 Building 30
ZIP
CHANGE OF USE FROM ITO
▪ SW 0 ALT. 0 AD'N. 0 RPL ❑ MVE.
7, WORN IIIII�— YY��— YYY / / /// 0 PLMs. ❑ MECH. 0 M.H. 0 POOL 0 OTHER
• E0 l N0 C W x moo)
ATI gOURCE OA ELECTRIC WATER ..yFR
9. A UTI FTIEa 7C 116
M in Floar Upper Floors 0srege Area Store.
Amp of Dec. Flnlen =sere m I Min. Li nt
No. Baths I No. Stores I No. Rooms INo. of 00.11 .
CERTIFICATE
of EXEMPTION
Enum. OWL Iloatlan Weal
*t W'6
Owm1Mip ASE
01171110 O Pllvne
CODE
I hereby certify gnat I have lead and n nod this application a MO have man use . N't i envisions included
on reverse side, and know the same to be true and correct. All provisions in laws .,'gin •r governing this
type of work will be complied with whether specified hereto o not. n1 .1 101 presume
to give authority to violate or cancel the provisions of any nlhnt state 111 I,,:.11 low Ie01il.i ! iirtll UCHmI Or the
pdrtormance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
11017 Of APPLICATION 7� 5ICNATUHE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
•
SPECIAL CONDITIONS
FEES COLLECTED
Single, $
Building
Plumbing
Mach,
PI Ch k
SEPA
Moblla Nom
Other ISPoNfyl
TOTAL B
'PERMIT HUMBER
at -!ild
L' "c• *4600'
*4600 6
*46008
•000 8
66098
07 —C1 -81
2 6479.
aso
YVHEN MACHINE VAI 11
ADDRESS
DATE
INSPE3CT ICN RECORD
REMARKS
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