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1981, 05-13 Permit: 81A-4644 InspectINSPECTION RECORD ADDi3ESS DATE REMARKS D / dee Le. -t'..,7 I° A E�O 57/z/W APPLICATION /PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH all JEFFERSON / SPOKANE, WASH ONIEEEO '/ 16091 *50.3616 APPLICANT: COMPLETE NUMBERED SPACES — PRESS I 'ARP TO MAKE 3 COPIES JoBA �% Pil.Yallt.�'li` "1/15P, to - :: 'h, z. 2 I �I�p�� <at�. (v 61K • G'li Q9+7 i p50P�V1a -1 1 ,I3.�6 __„„31- 377-0 CONTRACTOR PHONE LEGAL DESCRIPTION — SEE ATTACHED ARCEL NUMBERS X*a IUr.) I m. r54 -&v. ad 1, J_ Astual 12- ta North .7 ISoutdV (East Le ADDRESS ZIP DESIGNER 5' ADDRESS PHON ? Zone CHMltintlo� 1,vrX 147 5. U Trw Conn. ] 05Grwndr JrLICTOe'O ❑ves ❑NO F10 R . Sanding Area In Sp, Rep,. EIP Main Floor I UPPer Flaw. CHANGE OP USE FRO 5. Garage AN. Mortice Area of Decks I Flnl.h.d Basement 1 Untln. easement TYPE 0 NEW ❑ ALT, ❑ AWN. ❑ NPI._ ❑ M �� W0p PICO. ❑ Pl ne. ❑ MECH. M.N. ❑ POOL BT OTHER DPipots ORE //L1UAOTION SOURCE AS dE RIC WATER SEWER V No UTILITIES OE o. Baths O. Mori. I .o. Room. JL e. CERTIFICATE of EOOEMPTIO Enam. bl. Loratlon IAle.l O 0111. R.dd, r.1 Rep'd. Pubis, Private ❑ USE CODE I hereby certify that I have read and examined this application and have read the "le •�..,,,n ,nlr•i amt on reverse side, and know the same to be true and correct. All provisions of laws :,, �•� g, n,r.,,,,np ,I, type of work will be complied with whether specified herein or not. The granting ••1 ..• •..••• • „n o. r; s, -,, to give authority to violate or cancel the provisions of any other state or local law 101 I.,. • a,,rr i,•ii "• performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION i'/ SIGNATURE OF APPLIC9vtZ SPECIAL APPROVALS OATS ali n ng SPECIAL CONDITION{: I Oo �,I CTvHC� 1 <:Tr dT.f rI-r 7.40 FEES COLLECTED Building Plumbing Mesh. Pie Ch k SEPA Mobile Home Other ISoecily) rtl TOTAL S • PERMIT uhiaEe gtiti •5000 • T C,(1 • noOil -81 tt 6/179 i