1981, 02-02 Permit: 81A-1009 InspectADDILSS
DATE
INSPECTID RECORD
-5/
revt°c ' r»r_5 dtivh� �t v. �.�
pi er . % u4. 4
64' f tip, e5.5
�-�( 1, fy
PIAN NUMBER
- 475 1 //a9/e/
PARTMENT
RSON / SPOKANE, WASHINGTON 99290 / MO9119639Te
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
a � y�1�61�01 L- IrJ �L�Ig rr /v Genf
11 ClJ RIr d 1°'J
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
�L
a ADDRE.tsS -- R V' ^
47. Ker
0.
',;"a -fin
OP
X92.010
PARCEL NUMBER/5 0954.5 _ 1 ra Ga �.
Actual Nor.I o BannsSooM 10 In Fast Daft
IW00 3�
PHONE
Sim of Pax I80
Trili,oi obFo Y
ADDRESS
ZIP
Vt�nnal. 11�3'�M I
SPrinxNred
OVu ONo 00800.
5.
DEMONER
PHONE
ADDRESS
ZIP
Building; Arm in Sq. Ft.
pO
main FAoor
rUeoar
Floors
7PN`� Storm*.
ifi2v —
CHANGE OP USE FROM
ITD
0 ALT. 0 AWN. 0 RPL. 0 SIVE.
❑ PLMB. 0 MECH. 0 M.H. 0 POOL
U
0 OTHER
Area of Decks
2-40 alp
Finished Basement
I I o
untie. Emmen!
CERTIFICATE
of EXEMPTION
Enum. Dist.
Location IANal
Rills.
VALUATION
9.
Es
OAS 69 ELECTRIC
WATER
SEWER
Pueuc aO PNVH.
USE CODE
I 1180,1111 .1111111 that I have read and examined this application and have read the "N107 o.ovisiuns included
on Hammside, and know the s e tiinc Irue and correct. All Iii pvrsions cat laws governumg Ihrs
type ofwork will becomplied with whether specified herein re nut. The granting ,h rnein. does nut presume
to Arun authority to violate or
cancel the provisions of any other state r calar.
w rvglrlu l.r ill con; Sion or the
ru�rlunnance of construction. E REVERSE SIDE FOR REQUIRED INS
NS
0A1 L 7. APPLICA NION..I_
SPECIAL APPROVAL
NAME DATE
E
_J/J--__._ SIIINAIUH1. OI Flnl'I.
SPECIAL CONDITIONS:
FEES COLLECTED
ill
Building
Plumbing
Mach.
Plan Chock
SEPA
Mobile Home
Oma ISPenlfyl
TOTAL S
PERMIT NUMEER
2+ +34900
gip.- looq
.34900 En
+349008
.00048
10846
01-79-8.1
6 6479
12-efr