1981, 03-31 Permit: M80B-4184 InspectAPPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH S11 JEFFERSON / SPOKANE, WASHINGTON EOM / MOW 455 -5015
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
B ADPRESS
0'7 r
PHON
ADDRESS
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
CONTRACTOR,� /+
•R.Xc.Q ao�t../ Y (.acv
ADDRESS
‘'N
S 3 o
HONE
925-Pzcz
'PI 910:y
of PalCel
rrw Con
DESIGNER
S' ADDRESS
PHON
VMwlion
ZIP
Hn Floor
Zone COHEN .
Ov.e Dpi, 0Rea'a.
OullOno Are. In So. Fl.
UPOer Floors Garaae Arta
CHANGE OF USE FRO
Otak1 I
FlnlenHI Moo nt
MHO
7' TV" NEW ❑ ALT. ❑ ADM.. ❑ RPL ❑ MOE o OTHER
WORK 0 SLO? ❑ PLMS. {kMECH, ❑ M.H. ❑ POOL
No. Patin
No. Rooms
o. of Dwellings
DESCRIES WORK
fi `u ' stwlrlh
VALUATION' SOOT FF
9. (UTILITIES
OAS
lEx9 tY-
CERTIFICATE
of EXEMPTION
nom. Gln. II—ovation (Arta
Reo'a.
ATER SEWER
Own•rMlP
Public O Pow?. ❑
USE COD
1 hereby certifiAPThat I have read and examined this application and have lead Ole "NOTIC(' provisions included
OR reveres side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting at a Iranian doves not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
DATE OF APPLICATI ON )1—'14 S.° SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
snoop
SPECIAL CONDITIONS:
FEES COLLECTED
Singi S
Building
P10051 9
Plan Cheek
SEPA
Mobile Home
Other 00.01(0?
TOTAL S
M
9 EH
D o13N.41s4
04* •9.00
•9.00
.9.008
A *000 81
41833
11 -25 -80
3 6479.
WHEN MACHINE VALIDATED IN THIS SPAC
(
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK `
FINAL INSPECTION: 73/4( F1;
DATE REMARKS:
-31-4(
tx
ss.
2