1981, 11-24 Permit: 81B-2084 InspectAPPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON / SPOKANE, WASHINGTON 00300 / (600) 46}0070
APPLICANT. COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
2
JOB ADDRESS
Lor BLOLE • 714v�saN-�'
/3s
LEGAL DESCRIPTION — SEE ATTACHED
JWNER
a G ____ K _ asucse..1
ADDRESS
CONTRACTOR
EJEL Rc.Y
ADDRESS
DESIGNER
6ADDRESS
PHONE
PARCEL NUMBER/S
1AS43-000g
aaac,a .
PHONE
S�s-el3'Z
Actual Sat Backe I
North
1 ec.P t A flAA ..A O
!Ruh
Ne of Parol
Zone
AC, Classification a,cp,w(a SWJ
ZIP
9�110C
Type Conn.
.TN
y
ElYes l7,77:toe.
PHONE
ZIP
Ne40o=0
Upper Floors
Mein Floor
ewielnv Arw In SR Ft.
(1zS
Oarga Aru
CHANGE OF UFE FROM
_a
TO
Arw el Decks
FInIMM=wmenl
PE ❑
7. OF / Ew
WORK Ia 0L0.
DESCRIBE WORN
VAL A URCE F OAS FE TRIC WATER EWER
lQys ILITI `—'
Public RNMe EI
I hereby certify
UT
ii I 11.w
ES
-.o n.a.l slid evate I ii,A anllhcalion and have reed the "NOTICE" provisions Irv:hided
erre side, and knew Inusie to he trim= Jnit c. nart All provisions of laws and ordinances governing this
type of work will be rmnhed with wh,hel ylecifh•d herein nr not, The granting of a permit does not presume
l0 give authority to rinlale of ca Icul Zile Iii i lAADTt ut any other state or local law regulating construction th tl
performance of roosts licti ill SEE REVERSE SIDE FOR REOl1IRED INSPECTIONS
GATE Of lsPl`Ln/-,T e, /1f?-i/pI :,,',I:.aliilli ill nnl'I iCANT 1
SPECIAL APPROVALSSPECIAL CONDITIONS: 11,,,,„,,,,„, TQMiF�6n i...,„i...,„NAME DATE g FtaE TuWe i Asryoc.a-mo
❑ ALT. 0 AWN. lO RPL. 0 LIVE.
0 PLAIN. 0 MECH. 0 M.H. 0 Pool. 0 OTHER
NO. Baths
No. Sinner
CERTIFICATE
el EXEMPTION
Reese
!num. Dist. Leeetian (Ara)
USE CODE
r. Hwnn
DT am 2MAD.0
Fia.ANl W c
1dOTt: 'TQeaq�,s To
-Gmg,F.NIOsFL1OEYt0
FEES COLLECTED
0 al $
Building !"-54i .04
Plumbing
Mach.
Plan Check
SEPA
Mobilo Home
Other (Spwdyl
TOTAL E
02• •2380b <r"t
•2380Q'„.4
•238005it
A •000' 8
200.39.
11-23—Bt
il;,14-8475L :641,
LN r.1�.1 NINE VALIDATED IN THIS SPACE,
111N15 BEA UMES 0 PERMIT
ADD1 ESs
fSPECTION RECORD
REMARKS
/41//'
b2 !/15
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/" 4'72
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