1981, 06-01 Permit: 81A-5145 InspectT' T NUM.
5%7/81 APPLICATION/PER/MT
SPOKANE COUNTY — 5iJILDI C DES DEPARTMENT
NORTH Ell JEFFERSON / SPOKANE. WASH/ O 1608) 4663616
APPLICANT: COMPLETE NUMBERED SPACES -- PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
E.-1005
LOT
BLOCK
51 -Pt
LEGAL DESCRIPTION — SEE ATTACHED
SUEDIVISION
a
OWNER
C,ARV "DPNIS
ADDRESS
217t5 1461.EN
PHONE
G2l'd -'3302-
PARCEL NUMOER/S C.tliPt� �TS `C� 441, LOfjl
I;LL LOT] 92 t 33 DIAI
2453.-25r
SIP
gax-7
:0r:16H eaeala In 7215.
a.
CONTRACTOR
« 84
090
ADDRESS
:5xurE
DESIGNER
S' ADDRESS
ZIP
TyP4Const.
71N
a
n w!
SIP
e.
CHANGE OF USE FROM 1TO
w.rt I L
N
Rc5
ewwney SPHOPPRE0
U�w
Size e/cH1
Zone X I'll Mc)iftt ib
F P Own* Area I Store..
Mr Flow
r(if lYoi Dacar I nnNnaa Eaxmanr IDM... Sausewnt
—
•
TYPO knew 0 ALT. 0 AWN.
], OP
0 N.D. 0 HAM MECH.
WP
❑0/1ee. 0 MVC.
glom. ❑ P004.
0 OTHER
840.1641M I Na. rodeo el4Rowne 110. Wrenn..
CERTIFICATEher d.
of EXEMPTION
Db06(00 0066
a mibtli I. 4r` PleaubillOMc (NXL4)
OF
loom. DOM. I Looatlen IAr0)
, SO
LUATION URCE OAS [LICTRIC
BPI
7 O
IlAIDL T/UTIEE
WATER
SEWER
jEPric
Puells 08.4./0 tf
US! CODE
134161ly cerllly .REI 1 hoe Teed end eoemmed 11411 Opp11C6110n 0440 have read the
On 7000350 Elle, end know the lame t0 ha true and correct. All piwiouul Of lows .n,U • - • ,Y 0110.1 snv.
type of work will
complied with specified h 1s
. T.
G give authority to violate or ncel the provisions of any other Mate or local law ................0.16.............
parfamerca of constn.ction.BEE REVERSE SIDE FOR REQUIRED INSPECTIONS
ATLI. OF APPLICA
;,af-t�janE,ur-'
S0SCIAL APPROVALS
NAMt DAT{
�1 naYlL�6f�.! �Ll�
C Eneina..
DT "eaID•
MSCML 00NDITID0M1
EXtrTlfd eft SCP,RC
SKIS*DR(UE
yv.-
FEES COLLECTED
6 EN 0
04110113
Plumbing
Plan Cluck
[EPA
M04.0. Horn SO'°6
Other ISeeei7l
TOTAL $ t.l•