1981, 09-14 Permit: 81A-9014 Inspectr,. Nome.
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Ill JEFFERSON / SPOKANE. WASHINGTON 05200 / 16W1 x660615
APPLICANT: COb1PI FTF NUMBS. f14D SP /t „.. 3 P •f
ape woos S�1 a{¢Oq �Alfaif.N /r/2r
LOT OLk' 511101 ISION �-(i C�
2 I IR SLI I IIA4e.V AOPDC • Testy Ms> cec
PHONE
3, F LDf0 CALVEIR-
ADDRESS
TI • 440q BAN NEAT
CONTRACTOR
4 QaA6
• ADDRESS
SwDle
any? zoq
ZIP
gc2.1
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
'CELNUMEEN/S �y
07154), -4113
A c t u a l ::150:t st loss) S1
Sim ol Parcel 124 11PFASN J Zone
Al,R1LNL; or
Dyes OrokND Res'e.
Building Area n .
Type Coma. I Occupancy
DESIGNER
PHONE
CNANOE OF USE FRO
e.
galFWD
Main Floor I upper F rs
\1DD
I(DO
Garage Area storage
TO
Ar.a of 0.00$ I P101,0.d E...m. t I Dn,la. e".mant
TYPE CJ N[W ❑ ALT. "AO'N. ❑ RPL ❑ MVE.
,Noes tl ELD. ❑ PLME. ❑ MUCH. ❑ M.N. ❑ POOL C OTHER
bath. I No. Stories Rpm. !bro. Dw•l1100 of N CERTIFICATE Rea�d.p R.c'd. jN0i yE'd.
of EXEMPTION ✓
DESCRI EE WORN
'{IONS -ro �IE�IELECT
a.
TION O E OAS groom ELECTRIC
UTI LOITIIP
IOx LI.
ATER SEWER
SePr,c
[num. Old. Locallcn (Ansel
FEES COLLECTED
Public 1rmlp USE CODE
MPr .t. S pl. E.ia
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other lSpecilyl
I hereby certify that I here 'yid and examunnl Illls e1,4dn .1!
on moms Side, and know the Mole I„ lot Inn. and corn, ..t
type of work will • complied with whether ugcdlen I' n..
to OM authority to violate Di c:rinCel the Innelsinm of son
perlortnance At COnsDUCbon. SEE REVERSE SIDE FOR RF Olt Ntt I . NS I'I:' ! I'1NS
DATE OF APPLICATIONLWV
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITION,:
TOTAL S 44,06
02• .44.0x'
+4400.
.44.00#
A •000
181.32
09 -08 -81
2 66
ref
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR _
N S E W FINAL INSPECTION: 5---7.4 /7/4
SET BACKS
TYPE OF WORK
DATE REMARKS:
9)-7 4( —SY 't a ,r
eee " T /v2carx7 /,Crr(9iK%
/its-74t) -76 /Pe/ C.Ce Ifi
/41r,'����
Fly ( GL ei7ii /t @�-
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