1981, 01-20 Permit App: 81A-646 InspectionAPPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH FII JEFFERSON / SPOKANE, WASHINGTON 99260 / 15091056 -3675
APPLICANT- 1.'1',1P1 rlI ^,I'ICt nr I• ,I' PCI •. IDGI"L'
I JOB
7-T ADDRESS
1.Y
/ 44/144s-u-/ •
LEGAL DESCRIPTION — SEE ATTACHED
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2.
PARCEL N UMBER'S
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3'
PHONE
ADDRESS
,% /i.C1d Ad'o 4.....a
7IP
Artnal
North .tBan. lsoum Easn !West
CdN .if,,,R�s
4 y
PHONE
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Pineal o . acSOrlr�x
zEss „`
ZIP
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Tem Cnn,I I «. «nce / o ❑R .
d
DESIGNER
6'
PHONE
uatlon Building Ara In M. Ft.
ADDRESS
ZIP
Main P D,te9. Area 1 Stoma.
CHANGE of y5E FROM Iro n /
ti.
�❑
roo.cks I FInI.n.d B,F.m.nt Uri/In. Basement
NEW 0 ALT. 0 AD•N. 0 RPL 0 MVE.
0 7. O 0 PLMB. Dr HFR
wGgl< -y OLD. I>a MECH. ❑ M.H. ❑POOL
NT. e'n' No. Starl.a T. Room. INT. de Dw.IllnpF
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of EXEMPTION
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4CeGE 0(d
m. Dist. ILP«UOT twral
FEES COLLECTED
SOURCE rl� WATER SEWER
6 v --- UTE,. OX I
nm
Public Private Q USE CODE
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Budding
Plombin
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APICAL APPROVALS j
NAME DATE
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SPECIAL CONDITION/:
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Other 1SPe< IVI
TOTAI e /k,00
�PERMIT NUMBER
f 7/A, C-44-
•11100
.1 �C
•1r00t
•C..,
- 1,_1:11
..(17t
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS: ��
/-6Z -1/ /71;t‘y.,