1981, 07-21 Permit: 81A-7078 Inspect INSPECTION RECORD
ADDRESS
DATE RE ARKS
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.�M=�� I APPLR AT.O*!/PERMIT
OERMIT NUMBER 1,
e SPOKANE COUNTY—BUILDING CODES DEPARTMENT IA" O'18 r J ,fi4`
NORTH 811 JEFFERSON/SPOKANE.WASHINGTON 0925MOM0 MOM2569875
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APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
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1. LU SLASH SU814510 r.'V'J LEGAL DESCRIPTION—SEE ATTACHED C2* `540.0,
01VI PARCELNUMBER/S x446.0
2 1274 ftpv,T,IsA To vFr,...AD4c, .44001E
OWNER1.
a ADORESSNn) F -cit-& �l-zg'Q116 14�F2-3ccel a •C100 F
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CONTRACTOR
5Aaer rat an•CGNmeuee 07-16-81•
4' ADDRESS Ce SIAKzIF. F({r✓ll(.y
& F ZIP V.ICen.t. I Gfnagann SprinkHrae If 6479. 0
DESIGNER PHO ""414C4.:16,02,1
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Bull0lnp Area In Se.FI.
E' ADDRESS ZIP NE Va n ,f Maw Floor O.rFloe �� .
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CHANGE OF USE FROM ITO Aro of Nicks I PInIMaa Basement • Unlln.eENmant
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TYPE WV ALT. lYl AD•N. 0 RPL. ❑MVS.
No.Bath. I No.Stories No.Rooms No.of Dwelling.
1 7, DF a/ypI1
WORK •`e^LD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL 0 OTHER CERTIFICATE ` ( gW'd. Rae e. IHoI' .yaR .
—Cg1e�lRK e1 EXEMPTION
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8 Enum.Dist. Loudon Weal
{�C.b 2o.tr 4 511 1u15x2 LIe2 1
FEES COLLECTED
VAL AT SOURCE OAS ELECTRIC I WATER SEWER
YY I USE CODE
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I hereby certify that I have read and examined this application and have lead Urn"NOTICE'!
Single '
reverseon side,and know the same to be true end cor cess go 1 Included `
of wok will be complied with whether correct.All pro.tslnns of lune and...finances .�
type specified herein of not.Ilse glal 2cc of n on/osis hoes not rp presume
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to give authority to Violeta or cancel the provisions of any other state or local law legulutn coost err or the k
performance of OOfleeractjOfl.SEE REVERSE SIDE FOR REQUIRED INSPECTION Plantain.
DATE OF APPLICATIUI9_(__��� SIGNATURE Of oI`I,t Ii'NN3,_ it -_,—, Meth.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE 6ESADM I PJ ISTRA7-I U6
Plan Check
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