1981, 03-23 Permit: 81A-2693 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
'1'
APPLICATION/PIRMR
RIRa11eR•. .
SPOKANE COUNTY—BUILDING CODES DEPARTMENTF
NORTH III JEFFERSON/SPOKANE.WASHINGTON MSG/lap4•11-36/5l aEJSTS °
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APT1,
LICANT:COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES
(�Yeet fru �,���„�, LEGAL DESCRIPTION-SEE ATTACHED 0 3• *•69.0PAS- '
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eHdNt sae el NI CAI Cawt1 d L 236
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efrftn _ PHONE oslwuee Dem Ora ORm•a. •''''
's eWMlm Arm In Se.Ft.
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AC_ISO ZIP Male FIO v cRCe Clean Cara.Arm sew.«
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• .CMANOlt OF t PROM ITO Aru f I PInIRM 1 unfln.Eamm.ne
* Na NIM I No,Star. Na.Room. No.of bwellb. I
TT" 0 NEW 0 ALT. 0 AOT. 0 RPL 0 MVI
T OF 0 OTHER
MORN 0 M.O. SS N MAO. 0 MCA. 0 M.H. 0 spOL CERTIPIgAME RHOS I Reid. rot R.N. ♦.
of E%ELKI'I9N
' En.m,Daf. Lamfbn(AHe '�...y
• „�',J ��' L / �7/'�.�r" �A FEES COLLECTED t
��• 1 - [..IT^_ ,' TRR,I WATERFNW5 R 0.1.1015 I Wt COON
T �` VMk I Public 0 Priem.0 •
Elrgle I
I hereby certify that I hey,.raid and examined this eppllcetlon and have read the"NOTICE"provisions Included
on fever«side.end kn•in the some to be true and correct.All provisions of laws end ordinance.governing mit Building1
type of work will be complied with whether specified herein or not The granting of a perm.,does not presume �/ •
,�$;
to glee authority toviolate or c.1cal the prwn one or any other ate or local law regular ng construction or the t CO -•{
parforrrtnce of oorttnlpdon.SEE REVERSE SIDE FOR REQUIRED INSPECTIONSS/// RHnbinp 'qy
H AT�.�,AMLIC/1TION aJ-2S-�/ SIGNATURE OF APPLICANT±.H^C�,G Mock. � ',7
I L APPROVALS KMYLL CONDITg1UI
rNMt RATE .,Y 3 4.1.6.4„1Plan Cheek
ikny
mmele. .94.t.t-. / SVA
ort4..~('4'444.Elsa M.Im.P Mobil.fan
o.ever.
Whims
t 41
N an./opine,
cnKk1R. '' 19. 'IefS
a-eYl-74' I-/
«.i'^477).1. u
.4/ g.p�.v' L-f MH i aelfv
TOTAL L.qy
WHEN IN THIS SPASM,TNIE BECOMESAPERMIT. r
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