1981, 04-21 Permit: 81A-3470 Inspect T _
INSPECTION RECORD
ADDRESS
DATE REMARKS
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PtN NUMBER /�/�/ APPLICATION/PERMIT I�ERMITNUM9EH :-
RI y/ SPOKANE COUNTY=•,BUILDING CODES DEPARTMENT I A-.3400i`f�tl
— NORTH 81 JEFFERSON(sroluANE.0Asnme,ON 99260 115091 e09.3016
APPLICANT: COMPLETE NUMBERED SPACES--PRESS HARD TO MAKE 3 COPIES
tlo ADDRESS 02+ +750,0.
;w6. Co 611- 6*lri LEGAL DESCRIPTION-SEE ATTACHED .71500 LE
LOT EL OK SOROIO1SION PARCELn0MBER/5
_ -I. I I.IG1400-r 14-1-S .i.N. ,. W.sl D �'2 -1Gi 7-
•750.06
of-Le R +000 B
a—.woo. 4 MR.lA �pzM�l'� �`7vs�- IJ.I72 �w mF �°T 5
3 "T.` a,51 1y
ZIP a„.1 s.t a..lseeln5 !waft Awl 31.414
CANT ACTOR CO,rr p�,�� ONE S Prgl �p Zet Itl tl "T1I" 0413-8.1
Komi
��Toi fg3l N.tOO}e bee •t I�"e6A.li' a 6479,
-Yr k• e#1,5t-151- 5 ��n,. p�H ❑v.. o'a`N❑ oz- •17.0,0
DEMON. Valu.RHONE •) IMSc. '
DE
B%a 0_07),,„ In. S9 Ft. r1 T00;:C
5.
ADDRESS ZIP Main Finer ueear Floo ..�Ar5 r
.a 340.2
GO
ty.ANOE OF USE PROM To E. Fln .n,.a anti .nt 0413+B:1
a / .,._ 4479. ..
Tv"B- 0 r)Ew 00 ALT. EO AD•N. 0 NPL. 0 MVE.
No.w.tn. I No.Stnr.aa I No.wenn Il Ora00 Ilny.
'• WORK Y✓ELO. BNB. ❑MECH. ❑M.N. ❑bel 0 OTHER AMA
J Rp'tl.Room.
Jot R. E.
of EXEMPTION
I (�
DESCRIBE WORK-/ .�l Enum. ., ocation(Aral
a LIIAT/ SOURCE I1110K1 4.
�I�yJ ovet, tniP FEES COLLECTED
ya ! OAE p10 I WATER I SEW /DE!COD!
B. vIt Q00 OTIL°ITIES CWlXI G Pu n�u❑Priate LY Rllpl. $
I hereby certify that I have read and ezarnlned fhb application and have lead the"NO i It I-"provisions included
on reverse side,end know the same to be true and correct.All provisions or laws end ni dhiruncer gov I nog this BulMhrp 7.2type of work will be compiled with whether specified herein or not.the granting of a nn,mtitres trout,.
notrout,.to Rive authority to violate or cancel the provisions of arw other stor local leo,1,110'1,
1, iri construction or the
performance of construction.SEE NEVERSE SIDE FOR REWIRED INSPECTIONS P1umhlna
DATF OF APPLICATION 7-43N________SIONATURr OF APPLWAN I ...foe'..-., Mach. __
SPECIAL APPROVALS
SPECCONDITIONS:
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