1981, 04-07 Permit: 81A-2135 Inspect4/b/*/
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NOR,/ 1111 JEFFERSON / SPOKANE, W AOHINOTON 00200 1 10091 *esxla
APPLICANT:
XO: ADDRESS
Oto
/ F!(„fid./
oWNE0. . • yl A
COMPLETE N E • ACES . PRESS HARD 10 MAKE 3 COPIES
gpRE
twOTOR
DttflaRid�
PHONE
azo. 7yc
ZIP
IHONE 7
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMEER(S 2 -
core'
A.FNo .0111[
Actual S. N0Nn *5 e.. �s9um'f5
$1Uaz'x Ino
ZIP
PHONE
TYPE LOAN.
1/ -
ADDRESS
CHANGE OP USE ROM
e.
TO
ZIP
TYR r NEW 0 ALT. 21 AD•0. 0 APL. 0 MVO. 0 OTHER
i. OP
WORN a BLD, 0 PLMo. 0 MECH, 0 KR. 0 POOL
Zu VI •OL .7
OcoRAIRcy rso, n 0..e
R•3 Ov.. ONO 0ROOM.
8.1101n9 ANT H 5.. FL
FI In Fmnr I Floors �/
t� iOaNR Finixr.n F.01.11 � Unnrv. &Iwmnt
o. DF/M+ Y N Ns
o,
St.
No, Rooms
Stone.
No. Ot OWC111rys
CERTIFICATE
er EXEMPTION
pd I A.00. Pl
ORR
• Al ,3' ILI
AdvKwAid,ILPIM.2_Qi
ECTRIC ER SEWER
En.m. Din.
LPc.11On (Aro.
USE CODE
Public O Prim. E1
i hereby Cernty that f hove read and ezamlned this apphcat,o,' did t,.ne lead the N(`, It'i :�v si nciude0
reverse
tide, and know the same to he nclle and rrekvst .i1 All .,, of law.hurl,. over
inq this
type ofwork will be compiled with whether specified hereto n .1
1110 ,0111nq ,� Linn. Ines nolspresume
10 give eutitortty 10 violate or cancel the provision Of any on,or stale :,, 1 ,1.01 i.�w :p, I'i a r. p ..[tion of the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE 111 APPL`II:M1NT`��L}..i i- CA+•AJ�.A-
DATE OF APPLICATIO
SPECIAL APPROVALS SPECIAL CONDITION[:
FEES COLLECTED
8141 3
on Building •2 Q�
Plumbing
Meeh.
Pen Cheek
SEP*
Mobil. Home
Other (SP•clfv1
TOTAL S ^ 6
C2• •2600
•2600 E
•26006
A •000"E
31280
p6-06-81
2 6479. '.
INSPECTION RECORD
ADDLSS
DATE
4442 elcs //tJ
G)7 cr/ -7./ 5-// '<-7P/e.