1983, 01-05 Permit: 81B-1992 Inspectma-1CN RECORD
DDDR SS L
NUMBen
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 011 JEFFERS(,N / SPOKANE, WASHINGTON 89160 / 100914061616
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JDB ADDRESS
! 1. SOUTB 3527 BOWDISH
Imnox--
�,.. GWNEfl
S; HEAL L. JONES
ADDRESS
I
924-8116
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/5
Fiat SOFT WATER OF SPOKANE
4. ADDRESS
E. 728 SPRAGUE AVE. - SPOKANE
DESIGNER
E' ADDR5SS
PIP
Actwl Oct Sulu In PM I _est
North
I:o N
Stu of P.rc.i N . Classification
99202
PHONE
st
TTP. Conti. I 000..nty Sprinkler
❑a. ❑Np❑Raw.
Valuation i M Aru In SO. F1.
CHANGE OF USE FROM
ITC
11P
Main Floor I Upper Floors Dowse Area I Storage
TV" ❑ NEW 0 ALT.- 0 AO'N. D RPL 0 MVE.
M. ?RN. ❑ ALA QPLAIL 0 MICH. D M.N. 0 POOL 0 91180
DIACRIB[ WORK
a AttlaiyLED TT eR SOFTEEcTI
a V LU ONII SOIITIE4 S ELECTRIC I WATER
UREA
Na. Bath. 1 No. SIPr0. No. Room. INo. of Dwellings
CERTIFICATE I1
al EXEMPTION
!num. Dirt. I LP.1100 (0150)
Ow.rmlo E COOS
u I Is O Prn.. CI
1 hereby certify that I hero read and examined this application and have reed the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provision. o1 laws and ordinances governing this
type of work .111 be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
.gerf0rmarlu of construction, SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION-- . SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL 00lI0 TIONSI
FNM( PATE
• Dian Din
rFIr. M.rtPlr. Marth.ir—
Co. Engin.
144111.,
FEES COLLECTED
Sing, S
Building
Plumbing
Meeh.
PWA Cheek
SEPA
Mobile Home
Other IScsei vl
5.00
TOTAL 8_ 5.00
WHIN MACHINE VALIDATED IN THIS SPACB,
THIS 9ECOMES A PERMIT. . 1111.
ERMIT NUMBER LIB
1 816 — IAA-2-
03.
AA-z
034 •500 -»
•500 0,
+5008,.
A
*0.00 . Fy
19092
''
F 6479.