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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 �LDck w D 15 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% l'� ¢=ina/(o L- lam,