1982, 05-18 Permit: 81B-2210 InspectIi1SPDCT'ION RECORD
ADDI SS
DATE) RET+ tS
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APPLICATION/PERMIT
SPOKANE COUNTY.— BUILDING CODES DEPARTMENT
NORTH Ell 2FPEMON / SPOKANE, WASNINQTON 00200 / 10091 406 3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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LEGAL DESCRIPTION —.SEE ATTACHED
of2-15
PARCEL NUMEER/9 3 _
1$55�(y
.
13 - J31cr I. 16 v J
PHONE
Acral S.'IU M FM
' 11
t South
S�ulPrD.l
ZIP
TI wry
IW.1
:oOwiE tan
141" -v
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❑Y.. .4.4.
DEEIONER
PHONE
V.latlsoi5 WARW. Area In Sa. et.
ADDRESS
ZIP
Main Ploer Woof FNora f 60190 400.
�S�g{
CHANGE OF USE FROM HTO
ITV 1(r�EW 0 ALT. 0 00'5. ❑ RP4 0 PAVE.
'• WORK `e' QLD. 0 PLME. 0 MECH. 0 M.H. 0 POOL 0 0766E
Ara of Om.
FIn1.N 0.sem071
Samment
No. E41nt
No. Start.
No. Rooms
No. of OwNllnor
CERTIFICATE
of EXEMPTION
Rasa
Ra a. ro1Pae.
DE{3VPC��p��r¢\EIi /R?
$ & ' VALUATIONNddl({{UU
a
Enu, CPR.
Location (Aral
OAS
UTI OTIE5
ELECTRIC
WATER
SEWER
alD E CODE
Pubuc ❑NIV.1.
1 here*y c 101) 1, ead Gull a and this application and have read the "NOTICE" pl ovisions included
r. 1X1 reverse side, a too,. the s u 1,7 true and correct. All provisions of laws and ordinances governing 111n'
LyPC of work will 10ek0 n�l.l OPd wit11 wheIher specdied hrenii, n notVOThe granting of a permit Aces not Presume
t0 give authority to octal, oi cancel the I of 1ny other state or local law re ing construction or the
!,epaffoflnence oI conplu0 no0, SES REVERSE SIDE FOR REQUIRED INSPECTION
DATE OF APPLE; n 00. 004//="-V'; /_ - „Ic.NA1101)1,)1-APPLICANT
.SPECIAL APPROVALS
NAME DATE
sfCONDITIONS:
11iA%I- Y/4101N� 407*
FEES COLLECTED
Singl $
Building_
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Olhe ISoec'I1l1
TOTAL S
029 *BLOB,
.aa00
.aaoa':
22078 •-..
;I
:6474`,.:
WHEN MAIHINE VALIUATEU IN THIS SPACE,
THIS BECOMES A PERMIT.
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