1981, 11-20 Permit: 81B-1972 InspectNSPEX TICK RECORD
FUZES
DATE REMARKS /
2 �S rG`�cf G T` j( -77c ��
IIRAN XU ":71
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 69060 / 16091 4663616
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADORF55
1, 00 / ra gest
£.9r
1 4219Jr'+CR n
14Y/�/AJet
ing E, yy
CO TRACToll
ESS
,Bo,C gs3 R R
DESIGNER
: .
b' ADDRESS
3 4 IY
PHON
LEGAL DESCRIPTION - SEE ATTACHED B
PARCEL NUM
bERn
6CoSS4- 1009
016
a.on
fi. isi 7
P
99oa 7
Actual eSSet Bea. In FIN
Norte J/ ISouM�
. F
XTy. Const. // O
0 030 JW.n as
Zone Classilloallon
'R M 14
❑v., ❑SH 0 Roe'e.
PHONE
Arm In Se. Ft.
v4�t12elnq r88o 7.20
ZIP
Melo Floo Upper. no*.
Area of
CHAN=! OF USE FRO
e.
Oarape Area Storpe
7.26
Unfin. Samna.
TYPE .aw 0 ALT. 0 AO'S. 0 RFL. 0 MVI.
'• woo y 4
oco.
0 PLMO. 0 MECH. 0 M.H. ❑ 9001 000EA
MASON
MUM. ROAN
6 LE
UATIO SL.o(e /112 SCABR �30/1A�%
A^LA900HC! OAS
ELECTRIC [R 640000P
Wo UTILITIES TIL uallc RHeIe
No...torte Np.!oomr INo. of Dwelling.
— . 1 Race. r.t✓q.g.
CERTIFICATE
m A EXEMPTION
Ent. DIR. tion (Areal
118E CODE
I hereby certify that I have read and examined this application end' have read the"NOTICE" provisions included
oil reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will 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
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
DATE OF APPLICATION }'J y
- s I _- SIGNATURE OF APPLICANT
SPECIAL APPROVAL& ESPECIAL CONDITIONEI
soma QATB r, vf,,.ga j1�AR10 +Insert, M R. o , r' �4 ns
K'
r_ IL,l1��L I / . ,$_
PEES COLLECTED
Mogi E
Bonding ...lad=
Plumbing -
Mach.
PRO Geek
SEM
Mobile Homo
Other ISpecllvl
TOTAL ZPf,
�RMIT NUt
Sm, -1c4-12_
•3EOQ
.3P00 K
•3SOOt£
2•
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iv69P .�•
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