1982, 05-03 Permit: 81A-3965 Inspect INSPECTION RECORD
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PLAN NUIMER-----IAPPLICATION/PERMIT
I ///27/g/ PERMIT HUMBER
/A-3 65
/ SPOKANE COUNTY—BUILDING COGS DEPARTMENT )(it/1/i./
=`_ Nonin el r u[rre g5on/SPOKANE,WASHINGTON 99160/15091166-]6)5
OPEss
APPLICANT: COMPLETE NUMBERED SPACES-PRESS"EURO TO MAKE 3 COPE S _
.1000
m�_ I�spD152o SKIp�7oRTN Rr.N7 LEGAL DESCRIPTION-SEE ATTACHED .1 00,•
Lal.I
. I_*, IT /uO PARCEL NUMB °
2 Rs
OWNER _ .1 0 i1 0 t
PHONE / L /j / /&/
3. M '�- s. JOIlNSALI 928 0790 J ✓ �f' .r r 1 '
ZIP
S. /.SZC SNU WOK'l11 9910/a Acn.,l s.l B r..t
CONTRACTOR EO� norm ac ISOuth I a
SRg1L P SIM Of Parcel —r7—H1
+'.-
ADDRESS -- • ZIP Trw coni Set 6 T a 7 9.
ode0Pawy Prin arae
DesroneR P Dret Ono al0 R
HONE Valuation ��ca k.. r. n .Fr
6' ADDRESS ZIP Mors Area IIn6p
CHANGE OF USE FROM ITo Al ea o 0.01,,Upper
rP1,110e0 Basement tAI U 11 easement
J. n n. ae.ment
TYPE 0 NEW 0 ALT. 13'50.5. ❑RPL. 0 SIVA
No.earns I NO,Stories I No.Naomi INo.of Owalllnaa
). OF ❑OTHER
woRR (31,13. ❑MIMS 0 MECH. 0 M.H. 0 FOOL CERTIFICATE Pep,. I Recd. Piot Raced.
DESCRIBE WORN Of EXEMPTION
�/A EA/ Enum.OISL ILdwtMn(Areal
Cuii N(l ("A Ity 11NS`ML 1JC EUIa_q o? -/GVR_ FEES COLLECTED
hip
AL qT SOURCE d 6 TRIC ( SEWFR
O. 4500 .Sy IUTt LITIES I Ic ow ner s0 Private❑ USE CODE
I hereby certify that I have read and examined this application 1 ,,, t 1 "111
Single $
on Side.end know the s e to f»tide and correct. p / "' "! G ,�
type eoflwork will be complied w�h whether All 1 o0
specified d herein Th: y • o
Building /0
to give authority to violate or cancel the provisions of any othy.sIaIi ul 1,,cal IT
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPPlumb,f /} Plumb
DATE OF APPLICATION!J` ,2/7-. / SIGNATURE OI--APPI AANrvf/�//M/// 4/I. 4.--, Mach
SPECIAL APPROVALS SPECIAL CONDITIONS: / !—s"'
NAME DATE ken Check
Env.Health
Elannlne SEPA
arshell Mobile Home
IFyo,rr
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Other(Spadavl
TOTAL S/0%.
miner
ih�n nl r.+nr I�inl r/�tI Illnlrn ii,irii�nar� 0