1981, 03-13 Permit: 81A-1727 Inspecti
IMAM NUM66R
2.
OWNER
3 L� 0/VIE R u 13F-RTHUUP
AooREss
S A /VI 1=
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 61I JEFFERSON / SPOKANE, WASHINGTON 99260 / 1509) 456-3615
APPLICANT) COMPLETE NUMBERED SPACES - PRES€ HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION - SEE ATTACHED
JOS LOTADDRESS
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CONTRACTOR
�rel�P a N-EAL.T IN G-r:a
DRFss T
DESIGNER
/ r T1TREN
PHONE
9a6-.3
99:1.6 c
PARCEL NUM0ER/S
Actual 5.1. Backs In FoM
Nath 15outh
PHONE
Sim at Oman
Iw6R
2006 cNFWIcation
SorinkINm
oyes Ono 0 Roo'a.
9014190760. Ft.
P ON
IP
ADDRESS
CHANGE OF USE FRO
TO
UPPN Floors
Oar. Arm
Area 01 O I Plnlelled Moment
Storage
Unlln. Sa6mant
No. SHIN
No. Modes
TVF[ 0 NEW ALT. 0 AD'N. 0 RPL. 0 SIVE. 0 07065 1
T, OPCERTIPICATI
WORN 0 61.0. 0 PLM(. sm..❑ M.H. 0 POOL W EX9MPTION
& D 'I 6 ORR E I� 1�Ij[�1 four. Dirt. ILemtlon(Arm)
..�y'SSfICCyy1y.Ad Lt/la/T/. 2a'a 11111 eR WI CODE
lJ{`UATION SOURCE I OAS ELECTRIC WATER I SSW 16)10 0O
UTILITIES �// PuallO OANete DI
2 hereby testily that I have read and examined this application And have read the "NOTICE" provisions inclu h'1
on reverse silk, and know the senor to be nue and CI N*CI. All p'r'v,Moro of laws and n,lhllances yearning
typo of work will M complied with whether specified herein or nut The granting in .. n.nnit does not presume
to pm authority to violate or cancel 7h• provisions of any other state or local law 199111.11.n c mstructinn nr the
performance of construction. SEE
REVERSE SIDE FOR REQUIRED INSPECTIONS
n
DATE OF APPLICA 7ION 1SIGNATURE OF APPLICAN
OFICIAL APPROVALS IAL CONDITIONS: /
NAME DATE
., D*05leallh . aOl'a. ar•
500)708*
5 .0101010
yr y.
O I
e. Neo
n. 01 OweIII OS
Ree 0. Not Res'r.
,t -I.aN IIA - �� J
046 •1800
•1800 6'
.18008
0000 8
17268
02.-23-8,1.
a 6479.
FEES COLLECTED
&691.1 $
90114169 ,
RM6el66 • - 0 °r`I�r
Mach
2,2:,
Plan Check
SEPA
Walla Home
Other (Specify)
TOTAL
f
51\Qj
WHEN MACHINE VALIDATEACE.
7
OWNER
CONTRACTOR
NSE W
SET BACKS
INSPECTION RECORD
LOCATION
TYPE OF WORK
FINAL INSPECTION: 5-(r (/74)
DATE
3-13
3r7��'1
:3 1*t
REMARKS:
/ 6.740.51- .74, get)
04, e(7F' t -o - 6r h riee%
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