1981, 05-27 Permit: 81A-4965 Inspect •
�+J�pICttt RECORD
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i IP+—R/�4-2!/1 I ////8/ COUNT —B E 11101M/N/CODES ■ I �+Ni-4 41G5
SPOKANE COUNTY—BUILDING CODES DEPARTMENT
• NORTH 911 JEFE[PL—=_��WASHINGTON 99260/15091 4563675 - ��I 1 +
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES .6 2 00 L/
J0 A�ORG84C1 A l/� II'RA LEGAL DESCRIPTION-SEE ATTACHED r;'00 G
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j 1M00rtwr� , PABCEI,x„MBEB/s 2'} 33 -0318 +6200'
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f. DESIGNER 4Ne vale I51 .
& r4/':2.11:7-44 Buntline I r�5n,--•'
ADDRESS :le M
CHANGE OF USE FROM TO ^F" �� Y
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TVPE"-TaE)EW ❑ALT. 0 A0'N. ❑PPL. ❑MVS. No Baths No.514/0+9 N4/.Rooms No.or Dwe nps
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i0. WONK!' BLD. ❑.PWS. ❑MECH. ❑M.H. 0 IDOL CERTIFICATE ea B.coa
of EXEMPTION
& DS{c.Bleew_ oRK � /3�X 3G / c"- H. ...H4/"IA,..1
(��r�'fG✓ 1 �9)4A . FEES COLLECTED
VA IMS 1 N SOUOFCE A3 ELECTRIC WATER SE/'"R owner.nlo USE CODE
S. UTILITIES fKi 84/4/0,0 Exist. Slnply $
I hereby certify that I have reed end examined this cpcIlvetion and -,/I WI.'
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fide,and know the ma to be true and correct.All 1 I I I .5',3100111 ' Ze
"type ofwork Will be complied with whether Specified herein or not.Ths,Ir t doe,.,u n Ba'le'na
to give authority to vOGlata or cancel the provisions of any other siatc 011,/..el ivw 1,1,1,11(.111,Ir/Clnnl nl I
performance of oonttproheen,SEE REVEJRSE SIDE FOR REQUIRED INSPECT IDNJS� / rIummnt
• GATE OF APPLICATION .._ LY �SIGNATURE ST APO/I1/I0I f C�N /118 yAyy, M«F.
SPECIAL APPROVALS VECIAL c05DSTIONS: - •J
In NAME PATE+ 0..., iii.,, F.�,126-?.7161�i> qO�/S, Men caeca
rat, WI qlp•+— ISO �1 Okf W'r
SEPA
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TOTAL S
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