1981, 04-28 Permit: 81A-4022 Inspect it -— ---
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APPLICATION/PERMIT 1PER NUMBER
QIRB WL 1//as/W/ I g74
SPOKANE COUNTY—BUILDING CODES DEPARTMENT
non 11 511 JEFFERSON/SPOKANE, - NO-FON 99200 15091 450.3015 j I
ihLPLICANT_ COMPLETE NO •111 11" ACES- P' 1 1 G' r IF _ IV.Ff
..00
'POD AR
ESS
, 55ka TLA IhARTce LEGAL DESCRIPTION—SEE ATTACHED c r p p -
DLOCR I PAH.,PAnn°MDERIs
2. 1 1 ET1bN0Qtt NCb 1,0 E.) O�-
a G1ARY 'flats 5T. S �/Y ( /�U/ ;,
Awaa.
E.101.7t.101.7t. kamer .> �o' �nelree*5' �,5 1,..„
CONTRACTOR PH. SizeParcel of
C. SMM& 100X150 SIrI Lca�I
ADDRESS ZIP Type Const. OCcuganCY 5 ere
Ga �.3/No rive' nrvoknue
DESIGNER PHONE Ion
In a.rt.
6. ADDRESS ZIP m E en,.
GUOno,; 10�F 440
CNANOI OP UN PROM ITO Area o .c s Finished Ba .2350,01
sement 4�sB
Tye 8.
dNEW 0 ALT. o AD•N. 0 RPL. o MOE. "42."" N0•2ton.f q Ronmt No.o`Owellmcs
WORK et 3LO. 0 PLME. 0 MECH. 0 M.H. ❑Pool °TREKCERTIFICATE eeo. 2.00. rol/t.9.0.
of EXEMPTION y
OESSGRIDS WORK 0
n1. laranon(Areal
& JTi FAA `I !3 1 -LECT r'6A YKIEE� FEES COLLECTED
e.51l@SAI N 'T*I N.l'ES OA^3'-• ELECTRIC SEWER Ownersn lP USE CODE
r�o4�uT l�;rEsl � RsEvrv_ ,,,,ale $
I hweby cot tly that I have read and t.ar'e 1 this applawicai
reverseon
side.and know the:ams to be true and cu vcol. occ ol h � 4254.00
type ofwork will be compiled with whether p d here Buildine
to give authority to or ca Icvl the provisions of dry oihm oaio ioral I
performance of cOnStruction.SE REV SE SIDE FOR REOUIIFID INSPECT!
j�'•l/�
DATE OF APPLICATION--_ . 0 {nIl_ IR.l, 0 Mach. _
SPECIAL APPROVALS
ll I SPECIAL CONDITrONr:
PIi u T"-"/�� SEPA• Pisa check
Mobile Home
Other(Speedy)
KO�CA._/j-2/-2/
e. TOTAL S 1%C
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