1981, 02-23 Permit: 81A-868 InspectNUMEER
l/a7/8/ SPO RTMENT
NORTH 911 JEFF MON / SPOKANE, WASHINGTON 99260 /160914160675
APPLICANT: COMPLETE NUMBERED SPACES -- PRESS IIARD TO MAKE 3 COPIES
wEADOREss �,.,,,
1.01 Dr L CK 4Ss5 19IKb141
z
DW
LEGAL DESCRIPTION — SEE ATTACHED
bpi'{- L. Tra fp
515 !anti e.
�(EIG�lL11 BtbdtP..S
E
cro 1Aq
PARCEL NUMBER'S
‘e54.1-oee o
Actual Set Backs In Feat
I.0Pam
1 at IW.
474!4L86
PHONE
Size of Parcel
Zone cmostlication
et. OcooPen
zio
1'J .v R3 ❑yea 0�>"Yeo Rea 6.
ADDRESS
CHANGE OF USE FROM r.
a
TVA • O ?dee ❑ALTS 0 POW. ❑RPL. ❑ MVS.
,ird^WORM S‘Dn • Q ELME. 0 MECH. 0 M.H. 0 0007.
TIP
omin Floor
Ongoing Area In So. Ft.
Upper Floors Gleam Area
Storage
Arm of Deem
FInIMM Basement
Unfin. Rosemont
No. !tato
No Rooms
No. of Dwolllnes
CERTIFICATE
of EXEMPTION
Meow.
Recd. E.nt Rop•a.
Or SE A UATI N R
& SDUO FCE OPS
UTILITIES
at3to eo
Location (Area)
ELECTRIC
wATER
sEWER
Public ship
D
USE CODE
I hereby certify that I have reed and examined this application and nave read the "NOT h'1' rn OVISIons Included
on verSe side, and know the same to be true and 7011701 All prnvlslmis 1t low. ,11111,I n., cos governing this
type of work will be complied with whether specified herein re nol
The granting 'l r r Moes not presume
to give authority t0 violate Or cancel the provisions of any nthei state re local law,ered onslruction 01
performance of construction. SEE REVERSE SIDE FOR REOU IR ED INSPECTIONS
SIGNA11 nLtF'-
11 111- APPLE ANT /� e
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME. DATE
OATE OF APPLICATION
FEES COLLECTED
Engle E38.i11
Building
Plumbing
Mach,
PIM Chock
SEPA
Mobil. Nome
Other (Spottily)
TOTAL 1138rAFI
02• *3800_1
.3800 0
•38008
R •800 8
8672
01-27-8.1
2 6478.
WHEN MACHINE VALIDATED IN THIS SPACE,
ADDRESS
DATE
INSPECTION RECORD
REtii PARKS
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