1981, 12-10 Permit: 81B-2528 InspectINSPECTION RECORD
ADDPE S
DATE
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APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH elf JEFFERSON 7 SPOKANE. WASHINGTON 90:60 r ISOM ESF1676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3.COPIES
ADORE.I JOB
1r LOTB: SOBOIVISEi6a� " 6
1C ANJTP �SA \)'TA G 7C2\ rJ
. 2.
LEGAL DESCRIPTION - SEE ATTACHED
OWNER .
A Jc t6,70 `)ATES
04. 7471
PHONE
PARCEL NOMBER/S
ZiP
AFIU.I 644 eat. I , "tom 7 Ern
Neon.
170,„
CONTRACTOR
• Sa4PnE
AODREss
SAI.I�
PHONE
zla ^'Oone ClassInution
o Xs55 aACi,:. 8..u7.13aY3
ZIP
corm. in. Nk 6'aM-Ov.. Oeo.96.
DESIGNER
• AooREss
PHONE
v.ly.n�i,�a`.5r7
e.IHI 7 Sp. Ft.
s
ZIP
Main Floes ID'`aArea ISlomm
CHANGE OF USE FC100.4
TO
Au.. of Docks
TyPE
T.
WORK
Er EW ❑ ALT. d'. .N. 0 RPS 0 MVE.
P MB. ❑ MEp«. ❑ M.«. O POOL
0 OTHER
_n. I NO.Sr.il
740. TOOMIII140. al 00H ne.
CERTIFICATE
EXEMPTION
DESCRIBE wORK
ADD, Tto.." ra 'A GePP-,t4C
aON
SOVVE
AS ELECTRIC ti
Location SA/m1
WATER
SEWER
PC?T Lc
OnnorMIO
USE CODE
I hereby certify that I have read and examined this application and have read the 'NOTICE" provisions included
reverseon side, and know the same o be true and correct All provisions of law and ordinances governing this
type of work will be complied with whether specified herein or not. The grantin of a permit does not presume
o give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE 6017 REQUIRED INSPECTIONS
DATE OF APPLICATION SIGNATURE OF APPLICANT.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
ift l'y
FEES COLLECTED
Anal. E
Building
Plumb,
Mch.
Plan Chock
SEPA
Mobile Hon.
OI7.r ISP.* fyI
TOTAL S s(
PERMIT 'NUMBER.28
02• •5600 •
•5600 .,
.56002
A •000 8
247.33
122-07-E1
1 6479
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.