1981, 08-25 Permit: 81A-8362 Inspectvt OSIER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH E11 JEFFERSON / SPOKANE, WASHINGTON 00250 / 150P) 4560971
APPLICANT: COMPLETE NUMBERED SPACES — PRESS IIARD TO MAKE 3 COPIES
Pae A00KEY
' LOTM• ICDJI.O YGIV191tIN 0•
2 I
OWNER
C � C
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBERS
P1S
Li-141Q
ADDRESS1404 b. Wood •1
PHONE
ZIP
o 00121HAHen
Elvo ONe o Rhea.
Balkans Am In so. Pt.
n0.717.Aa
P umaPACY
re
PaanDeco
PInivd o•nmenl
1N aw 'IAL:.
0ACM. 0APL 0SIVE0 M.N, 0000*.
0 ovHes
No.Glans e.SIo.IM
unrm. 54 mot
1,000141Ne.1,000141No. o.Owa11Me.
CIRTIPICATS
P1 EYEMPTION
oWOAR
vvi T DL Cl TOAP TRIC 000
V
Enum. Dial.
1-04•110r1 1000E1
SEWER
DPniirsblp
Public 00.70.7* 0
USE CODE
I hereby away that I AOA. read and eeelnuod this Nrylicetlun and how reed Alm "NO'I It', " .m, ImrM�l
of trireme side, End know the Mtine
a
Mme to be sod Cree1 (daimons brave not ", M soon.n
nIANr. Ih
WOO olwork will he candled with whetherspacdlad harem of not. The granting ul a mil idle* OM 11104110W
10 am AJlhaelly t0 TIDIER, of canal t1)a arooMona OI any other alote or local Law 'au. 717 m.n1111UCttnl. n, 111e
prfotmanos el COMINODon. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
D ATE OF APPLICATION
SIGNATURE OF APPLICANT _. —
SP1OIAI APPROVALS
NAM OATS
t m.
AM7IM
MnIe•ll
PRIX
=MAW—
ISAMU. 00N01TIO11S1 leOI 11•
PIESCOL6ECTED
NryN S
gumbo
Plu3Cln9
MH�r0
P. 'tM14. CO
Plan CI)MM
SEPA
While bpm
Ona !Sacral
TOTAL S 7{71 eJ0
•;'400
.2900
•:(1006
•x110 8
OF -:0-81
6479
Srite
... _'..,.0,107.177•.7
�r�
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
FINAL INSPECTION: /o`--/( &' r/ 4
N SE W
SET BACKS
DATE
REMARKS:
eieLfie���i>� /d#' �05t
i'/ / a i3ez Ont -
A/ I/(4 t to 1
2