1981, 04-06 Permit: 81A-2803 Inspect •
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mSPECTION RECORD
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'" - � s'/ APPLICATION/P��RM1Y .E"MlT"uareE" —
/A 4./ SPOKANE COUNTY—BUILDING CUE ES DEPARTMENT EFIfk_ f
NORTH alt JEFFERSON/SPOKANE,WASHINGTON 99360/15091.6E-3816 •
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES
• `a' LEGAL DESCRIPTION-SEE ATTACHED P2• •53000
! �.FR
1. LP LP Qht AWE PARCEL NUMB •6 30 00 .~II
2/0 .3 a R 11em7N o�y �iAfTca .k 2 tcTa dotER 4,i4, Esrwrr-s oz.
.A38005
OWNER PHONE
3. ,to. . �,tECCU 9zs`-9.726 Actual Backs 25.54/ 1 03/0 ,t •000 8
Pg ZIP
r0. Bax JAW' 5849/+ 14 JYli¢ Nor JO Iepetn 3° ..20 Lw."6O 2P('',
CONTRACTOR PHONE Slav of Parma tom CIaN111Wlen
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)44X/7X F1¢X//0 Na,5/.01.s F 4 03-26-81
1. AD w . see,;•a�:. . An 1,ZZ fix. . / s 6473( ,. I
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DESIGNER ,• PHONE V fl"s O.B BLIMP.Area to Sq.Ft.
6. ADORES! sip PlooriejFloors f e I2(496.ea
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CHANCE OF USE FROM TO • 'ea Or Pe«FInhEad 6 n Unpn.unm•nt
O. �,SJO Lw�CarEREP O[CK •2.6V ,'° 127 I I D� •
nn �.Ew O A . ❑ADM. ❑RPL. ❑PAVE. ❑o ^ I .e)-..nines el
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• WOR. EP LD. ❑ C. ❑MECH. ❑M.N. ❑POOL CERTIFICATE se a. flewp'a.
Q .1 EXEMPTION
O EBC"Iat WORN Enum. L9Mtlen IAr 1
_,r41 �C Ah4� a QAG� PPI nIP FEES COLLfCTEO
r��ugno ilea RCE GAS f.L47taELECTRIc KE4'1Q bL:1I9 ATER SEWER nIe ao Privets IOL use coos ✓.�
Sinal. t
I hereby Dimity that 11 have read and examined this application end Ilavn read the"NOT WI wovistorts included p
nor
• verse olds,end know the same to be true end correct.All t .. i.
ons of laws and..sign....:",governing this ',tn. b AL•%�C_
type of work will e complied with whether specified herein or The granting ul .,nidoes not presume
to OM euthonty lbviolate or cancel the provisions of any other stale in local law reilo I..nl.•.nstructl n n.UV'
midtown.of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbms
DATE OF APPLICATION+3—/g-8/ ._SIGNATURE OF APPLICANT /.±:�V''r`... ._ M.eh.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME PATE
44.6-14-<,,, 0 Kelt Plan Check
-, 0 f ALE EEPA
Mobil.Home
•Marshall
.
'i? ,_i' `?//e Other(Specify)
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