1981, 07-30 Permit: 81A-5352 InspectPLAN NUM•ER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH WI JEFFERSON / SPOKANE, WASHINGTON 09260 / ISOM 466,876
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3.COPIES
1I s DD $ Pt,pJ S•i+
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCKIEl1eegn..�IL-114
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3 1.17SI 3.o��7 at2OVICA+
mNry r/
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1 -+V 4`
P ARC LNUMBER/0 1 t _ O✓I�
S V2 of I� /I , tl'if 66- or
3�
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HONE
TIP
SIa.3}2
ca1?_°:o�SK
, Ll',,-
vNonn.xt o.o0
DESIONCR
E. *DORM
PHONE
yalul3 �-o
evllolnp nr.% Sq. Ft.
PIP
MaIn F100,
u L FMoo Garage7-0 a
Stora.a
e.
CHAHOE OF USE FROM 1TO
Arse of Decks
FInlisboal Basement
Unr In. easement
TYPE
7. OR
WORK BLD.
0 ALT.
❑ RPL. ❑ MVE. OTHER
0 .in. 0 MECH. 0 M.H. 0 POOL
No. Oaths
of EXEMPTION
NO. Stories o 0000.. [Nn. or D0.BIn..
TER.'.
& DpCRIf` AK I� /T0� 1 ^1V (10,e - 7-)
VALUA•TA 0 *000000 OAS ELECTRWATER
OF
A rtlunu
Enum. DIM
Location IArse1
� �E(R
n%r t
USE CODE
Pueuc aD Prlwta
I hereby certify that I have read and examined this application and have reao the '
on reyerS( aide, and know the same to be true and correct All provHlons of law.
type of 'work will be Complied with whether specified herein m not The granting
to give authority to violate or osnoeLUs provisions of any other state or local idw
performance of construction. SEE REVERSE SIDE FOR REOUIRED INSPECT'
DATE QF APPLICATION -5M11.1__ SIGNATURE OF APPLICANT
WCIAL APPROVAL[ SPECIAL CONDITION•p:.y,,,�
'NOTIr' F' °vision,I.Imled
nil ”ntg. s gov nIq Illi.
ilnPs n I p�e�llme
eqn Ilan ollwucoon •he
FEES COLLECTED
S .I
Budding
Plumbing
Pion COMM
[EPA
Mobile Home
Other Iapesdyl
TOTAL •
�3
e
, 6479
I
ADDRESS
DATE
INSPECTION RECORD