1981, 04-24 Permit: 81A-3794 InspectINSPECTION RECORD
AdRESS
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R1J1N NUMBER ..
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Et JEFFERSON / SPOKANE, WASHINGTON 99260 / 16091 063-3676
- APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
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IauPUIVI N
2. M 3 fin/ 1
OD7 / I
3 43
CQN gaCTOR
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
9.24C-44 39
PARCEL NUMBER/S 3,3 Si2—/2i o
Lorin 41L -/C 3
!' A,STL.e AOn
ZIP
99244
North .S,scal5outn 90/ East Iwes1.3S
PHONE
noses r',"' •
PEEIONERi;,
6 ADDRESS
ZIP
sue of Parcel ne Clastif 3
T4 r
Bulltll��rea Is Eq. Ft.
ZIP
MUn Floor
Upper Floors 1 Garage Area
5,77
CHANGE OP USE PROM
TO
Area of D 3 B n
Unfln. Basement
TVPE..•..g6 NEW 0 ALT.'. 0 AWN. ❑RPL ❑ MVS.
), OF
W000 O BLD,;:; 0 PLMo.'. ❑ MECH. 0 M.H. 0 POOL
R1'' ,..
0 OTHER
No. Baths
Ston et
/
No. o Pit
No of Owelllnes
CERTIFICATE
of EXEMPTION
Enum. ORt, Location (Aral
y{ VAI.UATI SOURCE GAR
UTILITIES
ELECTRIC
WATER
SEWER
Ownership
0Nome gl
,o ell
USE CODE
MVP. ReC 0. Plot Roe'd.
X
FEES COLLECTED
I hereby certify that I have read end examined this application and have lead the "NOTICEtuovkions included
on reoerle aide, and know the same to be true and correct. All pro sonses of laws 000 nano, governing thI
type of work will be complied with whether specified herein o f he graning til .I .., Fri ,l0es n .e>umc
',to give authority c oo violate .or the SSIDE of any other stale a local law 'coda, �, construction l the
'performance Of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OFAPPLICATION 9? -0v SIGNATURE OF APP CAN1
SPECIAL APPROVALS SPECIAL CONDITIONS:
, GATE
S gl $
Building
P lumbing
Mech.
Plan Check
SEPA
Mobile H e
O ther lSpecifyl
TOTAL $ .56 QQ-
NUMBER
/A- 379
02• *5600
.5600
379.30
04-22-8,1
a 6479
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