1981, 07-16 Permit: 81A-6666 InspectADLRESS
INSPECTION RECORD
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APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Ell JEFFERSON / SPOKANE. WASHINGTON 99280 / IH191.EFSEaa
APPLICANT: COMPLETE NUMBERED SPACES - PAESI;' • - iII1 FO MAKE 3 COPIES
p- -NESS
., 4,3rdi Oap Jr -C
a 3 4-1 ittibTr-
APPLICATION/PERMIT
l -
OWNER J
1 mo61-1
o-- -t V
oy
D;-177 ,
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMEER/S 62.641 - 2.01W7
EIF
DESIGNER
HONE
ADDRESU
LIP
sei �fklSoetn 1 o I .
5°' apPH..I Lan. c I MR
87. suN, ren.
Srain.Hro0
❑T.s Ono ❑ Roo..
9.
CHANGE OR USE FROM
TO
TYPE HN,„,
7. 01oRK elD.
❑ ALT.
❑ 'um.
0
0
0
❑ MVL. ❑ OTHER
O H. ❑ roo..
Mln%rPt.
F�Io+on�. '.7
A M or Decks FlBMW e.w,m Unlln. Room.
I I` 7v
No. @.tnl N3a-M HP.I doom. INo. al fwInor
CERTIFICATE R..'a• R d. 101
.a EXEMPTION
RooM
IEE EECR WORN
a Dku�ln c,E.,
VALUATION SOURCE WAT
B. drt�I.(E51 S `� a*i .
'
. I,moby Cerhly that l bo.0 wad ,Ind WWI „l,,.,l this IIV 1......... .I 1..,.. .....1111. i.
,n. revnrse fide, and know the sante to betrue and eu,IectAll Wino.. ,.,s••1 I.I,+-
k wal 6. a mdied With whethe, soecilied barrio ..t n.,I. Ilie d,dlllk it .,I ..
to taw Authorily to violate or cancel the VrOVR1011f ul any m1.•1 •Irn tor.' la -Ien
oaf formal. or con0Nucbon. SEE REVERSE 510E FOR REOUIREDINSPECTIO I.Y
Emma OlN
PATE UI APPLn, a.'ION
SEWER
16
6.11.^tI_.___ SIIiNAT11111 In 11 ••
Location Mum)
O nHMIF oit
Feoo‘ ❑ v.I.H.
UEE CODE
ns101,ut01111
01
UG
SPEOEAL APPROVALS
ME DATE
lE7leJEL CONDITIO// Jh -Vl
opkr
FEES COLLECTED
01101. S_
PlumMnS
MxM1.
P. CM1Eck
SEPA
Moans Homs
0tr.11800111yl
TOTAL S '51(a='
.37600
•37600
•376006
•000 8
07-01-81
• 6679
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.
l
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