1981, 03-23 Permit: 81A-2023 InspectAPPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH BI I JEFFERSON 1 SPOKANE. WASMINOTON WN0 I ISM! 4841,11175
APPLICANT: COMPLETE NUMBERED SPACES — PRESS I'IARD TO MAKE 3 COPIES
1
1
4.
6
7.
d
4
JOS ADDRESS
LOr
SEDER
eP9rES
S4emvnlDN
! JlP7i
ADOREss
QiPfBS
• ACTON
AN
JPS 1 4.9
546
LEGAL DESCR WTION —SEE ATTACHED
PARCEL NwSEnR
Act. Six Nana M Pyr
1Botth
Leal
444-44940
Sue Of Pxal I ion. Cl..unulron
!l`i .2,e)"?
y 7�
Ty. Conn.
0.0411x0,0
S•OnIONNI
0
Ovy 0Ne 0 R.,.
DESIGNER
ADORES!
PHONE
Vanu.l00 I A laky ANN In k FI.
SIP
CHANGE O• *OE FROM
TO
Win Plea UPPx FloatsC.a.. Ary f Storer.
ASS. or D.Oa Faso.S 114wnWi Ullman. Ewnxll
T *SW 0 ALT. 0 Ada. 0 RFL 0 NYE
O F
wORA 0 St -O. 6%
ESO. ik`JL. 0 M 0 MK❑ 000L ❑ OTHER
D CRIBE R`.` l//////������L�'S'
'1 Reed
vALWT1000� T�rlfJfa/L
SOURCE
OF
uTlunu
puss ELECTRIC WATER
SEWER
Na Baths
he. Elam
CERTIFICATE
al EXEMPTION
Na Room. 17. or DRPIIIPVI
p'S I RK d. Poi Rp'd
Sm.. OM. ILounp ERNE
ONnann.
81IER1 OPTN11. 0
IwE COOS
hereby certify that I have read and c.no lned this eryplICstlon rind haw, reel the 'I41)11r.1 Fami$lon* Included
os 'nurse Ode, sod know the Nona to Be Nut and Correct. All $110Pnians o1 laws Jinn .Iu:nln:e* 90*010 n0 Inn
IVPs of work will In complied with whether specified Merin is, inn_ The BonitinS of . n 1100* not plewma
10 woe euthoelty to Viola . DI canal the poo**ono DI SEW 0510 *tate or hod ralann ooq rurnNucunn BI th.
P.NO0Menca of 0011*) on1Of. SEE REVERSE SIDE FOR REQUIRED INSPECT 5
04E1 OF APPI.u:a NON 62'..1 71-6/ BIONATUNEOF AFFLIC _
SPECIAL AFF110VAIJ t►ECIAL CONDITIOIIa:
ow-.. swim DATE •`
Ent
FEES COLLECTED
B.& E
Bulklins
Rwlblp 940
Asee0.
Plan Cheek
BIWA
NCCII. hone
Oder !*0.012,1
TOTAL 3_ }
lUMBER
2-t
03. .230 °j
.9.00'D
.9008
•000 f
2222!
03-04-81
.A 643$^
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NS E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
3'Z3^�l
REMARKS:
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