1981, 01-12 Permit: 81A-0343 InspectSNI NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH est JEFFERSON / SPOKANE, WASHINGTON 99200 / MOM 406-0075
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JpeAILOT
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O R 1E EOI IUN
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER'S
L
ADNEP/'�y_'1 ircaW
—�7s
3.ADO 99.l
A.94- 1.161.2.49a,
r:,.
Aputl sot mtk. M F«tI
'South I ail
Lag
sl« 01
CONTIgle
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E
P.rt. on . �L«Irla
k I '4R
� �ADDReia
016
T". Cepa. 0cc.wnw
TI OYae Otho � «'d.
Area In 50. Ft.
DESIGNER
.
PHONE
Valuation Building
StorStoma.ADDRADDRESSe
B•:..
21P
Main FI001 114000 ROWS . M. AI
1 un11n . easement
CNANOE
a S
USE FROM
TO
TVR NOW on AIT. 0 AWN. 0 RPL 0 MVE.
0 PLMe. l MECN. O M.N. 0 POOL
'' OF f7
WORN •LO.
No. Maths No. Rooms ro. o1 Owallln«
0 OTHER MAO. I RMa. rot Rao .
—wiai a. Olin
a VALUAfISN1 OORca o• EL. RIC I WATER I SEWER
s
9. I LF a
I hereby cert1y that 11 have reed and egemined this application and have read the "NOTICE" provisions Included
on verse side, and know the same to be true end correct. Ail provisions of laws and uidinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or canal the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS w-.. �...�
DA FE OF APPLICATION • /42, '/ SIGNATURE OF APPLICANT
CERTIFICATE
of EXEMPTION
anion. 0151. ILo .tIen IA
Pubs
arMlo UMI C000
ar PI Watt D
SP9DIAL AFFROVALS
NAME DAT
1-1111111111
SPECIAL CONDITIONS:
:;t1;NW:wn'
NIS COLLECTS°
Shpts
BUSKIN, -
FAMED.
Mack.
Plan Check
OMPA
Mobile Nome
other ISpeciNi
I(D'
, Pi l R - 034
C4• •1600.4
•160,0
3424
01-12-8)
smialifFNANMS
f�
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
%ttil� Y
cL do/ lied rPr,t
4 t .rP sake X6-0-