1981, 11-05 Permit: 81A-7579 Inspect MrsPECTIorr RECORD
ADDRESS
DATE REMARKS
- c/
//3P/ �
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(PLAN NGMCER I APPLICATION/PERMIT PERMIT NUMBER
COUNTY-BUILDING CODES DEPARTMENT
Si n-751'1
SPOKANE
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/ISOM 45536)5
iff
APPLICANT' COMPLETE NUMBERED SPACES-PRESS 13t`�!ill 10 MARL'3 COPIES
JP/(a��Ap°DR�EsRs C- /) LEGAL DESCRIPTION-SEE ATTACHED .5(10'
L`V 16CtSdR i uulvnlJn �Y or W A��b •5 P O l n
PARCEL NDM9ER,s af_sai-asps-y
s •5000
\ E�. BP��\ LIZ oy aq c-mpl re I{?S •
I.-II Yo lS B I 4000 8
3. °Co...ra ADDRESS
P Actual sale kkn
( 9PR E . 4th SpoA2ane. IciXt. lsaunIw
CONTRACTOR P Sim of Parcel nClesH1c(,,IIII
at
4. ‘,14e.-......c. nwr•EC- /3yONAL
ZIP Type Eons, Occupancy Saner+ 6579
R3 ❑v.. ❑no
O C. . •
DESIGNER PHONE3'
5' ADDRESS 21P v M}Lainnn Flom upper Floo atIon as .ilding Area n a GM..
ZB
CHANGE OF USE FROM TO ACI 'l Oncna Flinch....m.nl Un/Mi eaae.nenl
8• No.G m No m. n or Dwellings
PE ❑NEW ❑ALT. 0 RD'N. 0 RPL. 0 MVE. "'la ' I ry oo Rec O. �Pl
7. WF ❑PLO. 0 PLM+. ❑MECH. 0 M.H. 0 POOL OTHER CERTIFICATE 51 II Read. I aI •ci.d.
ORH of EXEMPTION l/
SSCRIee WORK, L Enum.OlN. L""'n Igr.al FEES COLLECTED
a-Ff.-g41111RvCm1SK1ythle 4R n*ghTer.IavEWER Pal kONIPI raI.
SEEOAE
.. 9SODO °ilES
SnBle S —.
Mat I(love(Pod mei v3.1111.1.0 lI t 1 I I,.
111. .111(1 kn0 the I b. tlue rl, clAll P s' Building 4.0.at
tt 511 ik II be complied with ettiettici 3...died l II
Ieel P plot...loos s V ulll. ''�
to JI ' Plumbing
.,.for rig 1.'.e ut cu Istrl ctio SEE REVERSE SIDE FOR REQUIRED INSPEC I 0N'
nor Ifr API,LILA LION JJAiY./. - SIGNPTURI tI!!.I'pl ICarJi �L."i.. McGS'
SPECIAL APPROVALS SPECIAL CONDITIONS:
Plan Check
NAME DATE
SEPA
Mobile Home
_- Other lSpecifvl
'.. TOTAL $ h,00
(Upj 1291-4LO.g_