1981, 03-27 Permit: 81A-2767 InspectJ/its,/P/
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 05260 / 160111 4193.31115
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
ADDRESS j{�1/.�a/�
t' 4(ylit
LEGAL DESCRIPTION - SEE ATTACHED
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2. G / i7Au.Y i. 4,6444,0
PARCEL NUMBERSff( j- SOA
AOT,F.-.04,r,
OWNER�y A •
PHONE
,c F,// ave
1703zip
`f.8.4`1/41.."P zZinife/a
5 .
90
Actual Ser baths In F.
M R hY.d
sertn IB.
MC
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4 `•
OR
A
PHONE
lltion
eZone ClarW
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ZIP
TVIN Co. Occupancy MInRNIp
OYW ONo ❑ Rp'0.
E1PAla N[R
phio
Must on SWINlm Area In 30. Ft.
RODREE6
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zip
Mal n FIow Upper Floors Gauge Ars. store.
Ltii..:::.16 OF USE P001.1 ITO
a
Area of Decks Finished meet WI . Basement
A0. 0 RPL 0 MEG
0 NEW ALT. 011
No. Bathe No. Moan
No. Room. No. of DwellingsTvP.
7. OE 0 OTHER
WORN, 0 M.D. 0 O PLM.. 14 MECH. 0 M.N. 0 POOL
CERTIFICATE
of EXEMPTION
Rated. Recd. ryptRp'd.
BE ]. - /a p'
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'�'���_�1I
[num. DM. Locc ion (MINI
PEES COLLECTED
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Evv{{..��-��-""""""����1i��ItECTRp)))I�,�
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lhave erread
ow...4, UBE cool
Public DMMI. ❑
2,
Building "jj./ -
I hereby certify MEI I hove read and examined chit application and the "NOTICE" provisions Included
on side, and know the tame to he true and correct. All provisions of laws end ordinances governing this
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type of work will be complied with whether specified herein or not. The granting of a permit doss not presume
to give authority to HOlate or cancel the provolone of any other stele or local law regulating.constructlon or the
performance of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS ,�
Numbing
4Q-
85 / -aIQ-
Mech.
.,�L �(�, `. A a
F1 SIGNATURE OF APPLICANT �A� .),, A I\ ;\1 X111
Plan Cheek
DATE OF APPLICATIONAp—fx3
DATE
SPECIAL M .
S SCML coNortaMl
C... � r.•IgIR. • .
p a - /
SIPA
Mobile Hem
x.Y+617 +u 41 rJ -74.-g
Other Ib.eiNI
MENhall
c .teeter.
JP -
TOTAL $ 1
ties
PERMITerrNa..R
. 02• e1dO
• 1 O'00
27650
03-25-81
E 6470
• 04*
• 1 7.0#3''x
017.00 Ai
OWNER
INSPECTION RECORD
CONTRACTOR
LOCATION
NSE W
SET BACKS
DATE
3/;1/c?/ (C
TYPE OF WORK
FINAL INSPECTION:
REMARKS:
�/�/- �-� f/
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