1981, 10-27 Permit: 81A-9109 Inspectkfi‘
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 90260 / 15091 456 -9675
APPLIC 'J.
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417'0 P9AtJypJ1, --
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LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK 'SUBDIVISION
2
PARCEL NUMBER /S
a OWNED AL -IioIJ
�t+
7— - q°�I
ADD pal aJlz
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F
A:,ua.g<IB..Ia4o<tl;<t Iw.
PrIONE
an. u.ara n.
S
4• ADDRESS
ZIP
Type Corral. I ccupance
Oyes ❑No Sprinkler. O R.R•e
DESIGNER
PHONE
Valuation Building Area In So. Ft.
6' ADDRESS
21P
Main Floor I UPP.. Floors Garage Area I Storage
CHANGE OF USE FROM
a
1T0
Ants of Decks I Flnlm.o Basement I Unlln. Sawmill
TYPE W ALT.
' W060 0 BLD. 0 PLMB.
❑ A*9.N.
LT MECH.
0 APL.
0 M.H.
❑ MVC.
0 POOL 0 OTHER
No. Betns No. Sao,NS No. Rooms INo. 01 00.111ngs
CERTIFICATE r R•9'4. 1 Rae o. Flol ReR'4.
of EXEMPTION
D[ tcm RK8 `- /�
& W 'I (T(
oom. OIR. LouROn IAreH
FEES COLLECTED
S $
A •
E TOTCIF 4 OAS
ELECTRIC
WATER SEWER
USE CODE
ullc aO Prl<aa ❑
I be.eby cert.,. •,.
soh . +.... ■
type of wotk :,..I. ..
lo Mee author ..ol■••.
p
..-
gl
Building
Plumbing
Plan Cheek
SPECIAL APPROVALS SPECIAL
NAM! DATE
.o..
I ...i1' -..
... .;; -
,E. - ..
CONDITIONS:
SEPA
Mob lo Ho
026.0 ISp•cifyl
TOTAL S ^-
M rEH51ik "87t0.7
•1700
•17.00
09 -10 -81
6479.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NS E W
SET BACKS
TYPE OF WORK pp
FINAL INSPECTION: / o2 f`—D(
DATE
/-V(
REMARKS:
AeArt4 aizie
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