1981, 03-17 Permit: 81A-2076 InspectionPHONE
gtB-4Bd3
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER'S
27544 -b7b 1
ZIP
.14z1 c.
424E l.63s
North Actual Sat ISouth xln
Nt
5G. of Parcei X \2S
ZIP
4aZLG
5.
PLAN NUMBER
Vs /S/ APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
ND143.40T4EgFP ;F..SPORANE PARNINOTbNSMRE.Q1 ; .VE aetS
./OS ADDRE55 7
7 4a6) SUINIVISION RD
z. 7 1 l MouluT,Lru UIF.io 41' AoolT<Olu
OWNER
a [adRDOW CAQLTON
S n.;A 10 ALMLO*J
Co HST.
a. CONTRACTOR
GEITtcl- JRLLE-/
ADS 211 LUmoLwuno
APPLICANT, COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
DESIGNER
ADORES!
PHONE
crasmlwD.n
ACo.
51.166112OAIV
S rinklered
Ohio ❑ [IOWA
CHANGE OF USE FROM
ZIP
STD
1.4air, Floor I Urroor Floors
Tvn Eyj New !1 ALT. ❑ AWN. ❑ RPL. ❑ MVE.
r WORN BLO. • ❑ PLMB. ❑ MECH. 0 M.N. ❑ POOL
DESCRI 2WORie
a EAXdf%E S ilucs OF LPQPOOF
9.4;,z
ALUATION
4co
(OIL GArwoe
Srosc.E I oA5 I ELECTRIC
uTlunes
❑ OTHER
Area of Decks I Pomona
No. Baths I No. dhows
1,
CERTIFICATE
of EXEMPTION
Enu
Ur"a
Stow
Basement I woks...mom
i
WATER 1 SEWER
Ownership
Puell0 OPrNate
USE CODE
I hereby certify that r have read and examinoll Ills application ..nd I1,ire iehrt the 011 i ll" i i ncloded
On side, amt kilo. the $ame Ir, I,P' Irrie and currecl. All piov,siolo ,.f laws oho P e„ en. governing nd
type eof work will be nornplled with whelhal specified herein of nol. the glanhny n: a n l'ri ,i does not presume
to !lira authority t 1 to or canal! the pNWrs o 1 1 0ny Omel 1. 01 100.1 new vlr lal i,. r letruction or the
I etformarlCe of r. I olll. SEE REVERSE SIDE FOR REQUIRE() INSPECT! NS /�
" -OIE 11 APPLICA1100 316. L _ S NA rIlol 'CAN ./J1//r /-,p (aEee,
SPECIAL APPROVALS MECIAL CONDITIONS:
NAME DATE
krw -Rini!
is �Y
INO. or `...umos
.A)g Room. IN a g.aa.
FEES COLLECTED
5 al S
Building '1•0°
Plumbing
Mech.
Plan Check
SIPA
Mobile Noma
Other ISP.Clfyl
TOTAL
$114 -261G,
iloobl 1
• A a 00 0,
•44.005
•u'.0 8
707555
03 -05 -81
55 6579.
WHEN MACHINE VALIDATED IN 0055 SPACE.
INSPECTION RECORD
ADDRESS
REMARKS
3�t ? e" / /<:r( s 41/ it/c,
e F t�,✓ 4„ .74/ r/✓ / /1/I4- ze s
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