1981, 08-28 Permit: 81A-6335 InspectADDRESS
DATE
INSPECTION RECORD
RU4ARKS
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APPLICATION/PERMIT
SPOKANE a — BUILDING CODES DEPARTMENT
IeORTQ�I JEFFERSO SPOKANE, WASHINGTON 00]60 / 160014663515
APPLICANT: COMPLETE NGMBERED SPACES — P' ESS HARD TO MAKE 3 COPIES
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LEGAL DESCRIPTION - SEE ATTACHED
ARCEL NUMOER/S 41E554 -/ 12.5
A71/.4.W
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A RESS
7-7
C leTRACT
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PHONE
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ZIP
PHONE
Ac wl Sat Back. M FM
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ZIP
6.
D ESIGNER
PHONE
Type Conn. O«uPence
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no CMulllu
of 11/rinedLNIPMIe
y� .ma
Ov« ONP O Rao'e
u1101n. A i So. Fl.
7.2
Aoo0ESS
ZIP
In Floor
LI Floors Osmea Area
Storer,*
CHANGE OF USE FRO
a
TO
Ara of Da060
WPM Besemanl
00111. Basement
), Of ▪ PE ® NEW 0 ALT. 0 AD'N. 0 RPL 0 MVE. o OTHER
WORN DLO. 0 PLM[, 0 MECH. 0 M.M. 0 POOL
a Mans
No. Morale
/
Plailoorrs
re. of 00.1010.
CERTIFICATE
/ EXEMPTION
5.1,4. . RM'd. �v01 Ra'd.
I X
a
ALWITIO
SO
OAS
J_LCA[
EuCTRIC
WAT[P
ar01
SEWER
[num. Dist. Loutlon (Ar.)
Piddle Owm.N M
USE COD[
I hereby certify that I have rued and examined this application and have lead the "I.UTIet" pnry hens included
nit versa side, and know the same to be true and correct. All movisirnls nl laws and onhllvlres goveflling thin
(000 0? work will be complied with whether specified herein 01 tnt. The granting 01 a Iu,nmr dons not presume
to give authority to violate or cancel the provisions of any other state of local law legulallnq construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS s
DATE OF APPLICATION -/. 01 API'I.ICANI�'r'r<{__
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
sas -vim I RPaDI n "LW'''. K Als4t4 - iia11
' /2_
u n•tT �b /0 /
FEES COLLECTED
S inai
Building
Rumbina
Mach.
Plan Check
S IPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
1 - G33S
02• .5000
•5G00�0
•s0o06
a •000
6.1579
O 6-22-8Q
• 6479.
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.