1981, 04-15 Permit: 81A-3123 Inspect •TAN NUMBER 1 ovioel APP CATIO /PERMIT idsi'PERMIT NIIMB[R }
SPOKANE COUN ING CODES DEPARTMENT 87�-'3i'a'g 'r I bL.
NORTH SII JEFFERSON r E,WASHINGTON SW260 r DOW aSseva
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
'�eJADDREs�s7 02. «SODO
�T qgp b�' ' !-f PARCEL.
DESCRIPTION—SEE ATTACHED x 5000`
z// ''iZ F BERN/G6yR:—iiL-2_ .50.006
%j �[. ai/�r./ AJ ,,-i, TR her 7.2 PHONE A .000 8
a {r"."A y- 9.2L-R2 ' M, r'r=Ld! 1C'
ACICIRESSC ._, ZIP Actual sale m Feat F ,fila �L..9" 31221
�/.67,00 // M L{f � Af/ q?Zi L' North Backs
I est �Wafl
CO C OR 777����-���—����"� NE Size of Parcel z ne Claaln Da`D6—B'�
Mr,s •• .it c �d,IL
477-.:44,:.-Lt" Nc, x yes Zgr.r �t x P s aura.
ZJ.lfr 7710 . I or ja. 4 9 on oT ZIP T vt✓creta 1 R-c1.na. ❑.e. Ona kl0 Aaq .
DEM AER al y I Bul 0 ArM In SR.Ft,d •
y .�q,70�� ITP.FgYri-' .W.ad��-
AODRFST ZIP Mal.Floor UpperFloors
/
CHANGE OP USE PROM. ! Area of Uwka F1111111,1 M
easement unites.easement
a
M p.-1Bates Na.StoriesOvens, No.of Dwellln
7. OF
0 NEW p ALT. 0 WON. 0 RPL ❑MVE. OTHER Ia 4s"'r Q�.. No.Zqa
WoRR S OLD. 0 PLMe. 0 MECH. 0 M.H. 0 POOL CERTIPILATE Ree e. Roc,.
IlivoXt
A
w'd.
of EXEMPTION
DESCRIBE WORN EMIR,.DIM. Location(Areal FEES COLLECTED
8,4'.'&101* G06'6111 OAS ECcc I�� n ,-/CV
SEWER E CODE
QQQQ-6I ❑ vC
S,01. $
I hereby certify that I have read end examined this ppl' t and have ad the NOTA:t"ItowiSionS 111ClUtICCI I11/^
side,and know the same to be titre q d correct All I of is l q 11i; ,�SD� .1..L -
type of r work will be complied with whethe specified h'ta t.The yr,t,q of not presume Bu Idlne "`��`
to give authority to violate or cancel 1110 1110,,'i51011S of any other stare or local law
I tlu,t'i II or the.
�4 �I rives t
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS t/ Plumbinp
DATE OF APPLICATION�—�—N� SIGNATURE OF APPLICANT- -�.i. /% Moen.
SPECIAL APPROVALS SPECIAL CONDITIONS;
NAM[ DAT[ PIFs Cheek
ii..1.18I1h /f
A Ri.Q-141G/L,rG L.W
'EPA
DJk4A„vest kia.;....4.,..,,— Y,,e-.c,i:''a+'^W
Cl, Marshall f bZV Mobile Nome
i In ® A � ��/�_ Qom/ jr,��,�,t/�H per!�,.e¢r?.CIG
Other lSp.odH
TOTAL f`,-.7)6° L
•
1
3 .
INSPECTION RECORD
AD6RESS
DATE ARKS
4F6-`--g( (i 4' ffriZAlf'NG
1-61
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