1982, 05-10 Permit: 81B-509 Inspect-!;
I APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH etI JEFFERSON / SPOKANE. WASHINGTON 99200 / 15091 ee5.3e75
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MARC 7 Cuvr',
n.ADOREss D I{ jI C LEGAL DESCRIPTION — SEE ATTACHED
LW1la2, 8o e8.. 1
T EWEN IV161UN
PARCEL NUMBERh
OWNER PHONE
y DAR. L_ B4NDY 42Z-7243
ADDRESS ZIP *0111035•le F
N.
13 Z2. RDWDIbH 99206ent
o �0000 East �w.rt
CONTRgCTOR PHONE ea• of Parcel
one Classification
*'ADDSR S ZIP TYPO Conn. Occupant
Over OPl'o"4' ea.R•a.
OS610NR PHONE VMu.Non BunalM Area In Sp. Ft.
�' ADORES( 21P Maln Floor UPPer Floors Garage Area Storage
' CMANOE OP USE PROM TO
Q
7700 e
Z.,;0:,® w 0 ALT. 0 AD'N. 0 RPL 0 MVE.
OTHER
7'a- Z.,;0:, 0 DLo. 0 PLM.. OHRM
BCH. 0 .N. O PooL
0
Area of Om
FInIMea Basement
DESCNS WORN
type o/ work will be
le
D Y
lirt
o. Baths
CERTIFICATE
of EXEMPTION
Reg a. Het d. m R.'d.
} wooD37D E. IK rAs1. Dot/
VALUUAATION SOURCE OAS ELECTRIC
0. UTILITIES
Enum. 0103. Location (Areal
WATER
PublicrsO Privet. D
USE COD
I hereby Certify that I have read end examined this application and have read the 1011 e 1 ,,,,
on reverse side, and know the same to be true and correct. All provisions of laws Hien �,lun.e,,eet `1vee nn,q Ines
complied with whether specified herein or not. The granting al .1 pl'mt duet hot mom els
to i authori[ to violate or cancel the provisions of any othee state or local law regulann0. nos.ruct.u'l n1 111
performance of Construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS��---,/
DATE OF APPLICATION _isOW SIGNATURE OF APP, (CAN 1 e@cr 1fLQV[�
,/{
t`.NECIAL APPROVALS SPICIAL CONDITIONS: Y
NAME DATE
'Maine „,
Rh. Marshall
FEES COLLECTED
S el
Building
Plumbing
Mach.
Plan Check
SEPA
Mobile Home
oliin: Cacltyl Jo
TOTAL S /7‘4:r3,,
• 117t vA LIDATE0 IN THIS SPACE,
ers
OWNER
INSPECTION RECORD
CONTRACTOR
LOCATION
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS:
re 0,41.e lied
oto terse
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