1981, 05-13 Permit: 81A-4645 InspectDRESS
INSPECTICN FORD
ATE PENE;PICS
5- /Y
UMBER
Try 1/ / : /t/
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON MEG / 15091 <66 -56'76
JU gIOORES2s ��/ ♦{' �s
T LOT �/ B I l NS IBDI VISIUN A
2-7? qq-� 1� II I �IIs4F'�1,I Iry -
a 74LY'KVslOO�J I")Oj�InJ =r5 IM h 7, - 0
G I�� P°f'AtJr7 z L�
C4 ft . PHONE
4. ADDRESS IVl
APPLICANT: COMPLETE NUMBERED SPACES -- PRESS HAW) 10 MAKE 3 COP US
LEGAL DESCRIPTION - SEE ATTACHED
PARCELNUMBER /S •7niTI, L ,
t}7564-- 1G,(,t L4 t —'7 G- j
ZIP
DESIGNER
6. ADDRESS
PHONE
Aclua Sal Oa cb In Feet
6 m Isom 3 L) East Iw.,, 0
eOlgox ISo Classification t ,
TPjtn . I 3" Over 01n 0 Ree•e.
ValuHlon _5zw GD IBUIIe a ArM In 59. Ft
MA Floor
CHANGE OF USE FRO
TO
TYPE 0/ ❑ ALT. 0 AWN. ❑ RPL ❑ MVE r NEW 7. OF I OLD. O,PLMB. ❑ MECN. ❑ M.N. ID POOL 6TOT000
WORN
VII/ LU'i TI//O�� S 11 L I GAS RIC WATER 6Ewun
9. eT -0f/ U1gIFIESI
Area of OKk■ FlnlMed OMITS t I Unlln. Basement
Nu. Bath, I No. Stories LNg. Rooms INo. of Dwell nP
CERTIFICATE
e1 EXEMPTION
Enure obt. Iloon n (Anal
4winosm. 450 cope
uolo ❑PMHO. 9
1howl, i..Itlly Ihet 1 hove read end eaJoIllleJ 11116 aptlivalion and hreo matt
nil s .i
snit', anti know the lance 10 be true end c ecl. All rineltin.� o! I.I'.v�.
type of work will be complied with whether specified herein n Intl. TIIV Rlantlml ••I
to give anlhority tO violate or cancel the provisions of any nthae
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION .4/De/S/ SIGNATURE OF APPr lC�pi
SPECIAL APPROVALS SPECIAL CONDITIONS: J/
NAME DATa Muy L4I A44 -1i ijC'jc.1� 0 1�
I q—
Wnp
Reed of Reg,.
FEES COLLECTED
Single E. -= --
Building Y CrP.
Plumbing
Mech.
PI Ch k
SEPA
Mobile Home
Other (Specify)
TOTAL 5
Cc- I_ 1
P 6479