1981, 01-29 Permit: 81A-0013 Inspect INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR TYPE OF WORK o
N S E W FINAL INSPECTION: /'—1 / g/Lip,o �2
SET BACKS
DATE i
REMARKS:
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"NUMBER APPLICATION/PERMITRM T NUMBER
SPOKANE COUNTY—BUILDING CODES DEPARTMENT PEi ; _col �
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 90000/15001 460-01376 p
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
Joil10ry1' �J�,`0 '(,,k I��JJ ,\,2 LEGAL DESCRIPTION—SEE ATTACHED 04_ '7' ''''
LODOREss
(t•ILO 45U9UIV IS PARCEL NUMBER/5 7 a U l
��yqIR�^^ J 141{1.45L.12,
-I�, C�K6 P�%JGNE 594 �0t� oD ra
3. wooN.'134 ✓`t{I/�ZN "h 79•f.�cP MOOT.l s.l B.s Isov10 s 0 Feet I eR IW.sr '�.,Oo �X
CONTRgC pfd f Size of Parcel Zone Classification O.00 C4•
4, ADDRESS Sh/'Iv ZIP Type Const. OCcuPancy B klarm �-N0,
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Oyes 0— ❑Rp'd. /
DESIGNER PHONE valuation Building Area In Sy.Ft.
0 4 f f 7.D Oie'
L ADORES! ZIP Main F1eor Upper Floors Garage Arm SM..
•700
CHANGE OP USE PROM TO Arm of D«lu P1000 8 Basement Unrin.eeeament P 97.008
4.
NO.Betio No.Stories No.Rooms No.or Dw8IIIngs li f 0 0 0
Ty9. PINED 0 ALT. 0 AWN. 0 RPL. ❑NivE.
RNe. Rasa.
T. v0/Fo ❑SILO. 0 PLUS. tl MECN. ❑M.N. 0 POOL OTHER CERTIFICATE -' of Rm'd. I {
of EXEMPTION 01_L�5—R1
DESC ORK 600,6.0)90. 00090000[Areal L
& I��. FEES COLLECTED Y 647c.
I��,,,,``A4/T�I�O��� SOURCE AS ELECTRIC WATER SEWER erPOO USE CODE
. 9, VALUATIO�TILI OI G 011c 0 Private 0 000019 E
I hereby certify that I have read and examined this application and have read the"NOTICE"provisions included '
on reverse side,and know the same to be true and correct.All provisions of laws and ordinances governing this ,,,,Ilei,,
type of work will be complied with whether specified herein or not.The granting of a permit does not presume
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so give authority to violate or cancel the provisions of any other state or local law regulating construction or the r
performance of construction.
SEE e.RREVERSE/ SIDE FOR REQUIRED INSPECTION Plumbing
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GATE OF APPLICATION I -A`'' _ SIGNATURE OF APPLICA T _
Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
!!PA
mina
Mobile Home
m Marshall
e.VIM. - Other Iipecityl
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