1981, 03-13 Permit: 81A-2033 Inspect Tv
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#1534 APPLICATION/PERMIT T
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SPOKANE COUNTY BUILDING CODES DEPARTMENT If 81 —'� f `,`
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 59260/101014663RIN , !
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES p
,,{{ 106 ADDRESS
T• 15705 East 11th Avenue LEGAL DESCRIPTION—SEE ATTACHED _ 0 U• •1 4 Op `
Z WT CLUCK NUUUIVISRJN ✓ARCELNUMEER/S •140Ai k
OWNER PHONE •1 4.0*
a alas Exiekson z90 4 5062
AImM Aa,ISn400.Mr•o A •AOA'S
{Qd Ae 1166 Avenue PFe7 N
ionu,„., „, 2 0 3 2 f
SU•or p•rw1 1,,,,,... r CM•MllullII Pxi
Reurw Rufie Tnc -25 6505
/,,.*006666 ,.�•.N. 03-
ZIP Type Co.. oaws.0a swo 0 ”"g 6'44 79'
Beet 204 Indiana 99207 ❑rN Oxo Roo, t
DESIGNER PHONE
; Valwtlon Ee1NIM ANN In 80.Ft.
a. *DORM
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WM O•r•M ArM Ster,••
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.CHANGE Of INE PROM TO Au,of pW I Finished moot I UMW..6.•
80.01 s w
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TYPE IarEw 0 ALT. DAWN. 0 RPL 0 MVS. No.Poke I NO.Stall« No.ROOM Na of Owwlnu '
T. OF ❑OTHER
WOgR 0 EW. ❑PWS. 01 MECN. 0 M.N. ❑POOL of EXEMPTION ( qp'd. I R•{'0. riot Rp'd.
of[%E6IPTION I
's'DESCRIES WORN Enum.Dlq. L"."*"114"1
aIpPt.il k heat`plop FEES COLLECTED
1 ;90URC[ *6 ELECTRIC WATER SEWER ow.... USE CODs � //(
G. UTILITIES XX
Paullc OAIr•N D 8iM1• e \ �(//�1 fir•`
I booby certify 11191 f have road End exam ned thb eppliceCon aid have read the"NOTICE'Wovlsmns itwluded M
100 reraNa Side,giyl kdow Ih elma to be Itrue end correct.All provisions of teal 1 d es governing this
k.,type of work will-ho complied with whether specified hese n or not The granting of Penn,does not presume EvINIM /
to
performance
acarity to violate or cancel the prov Bions of any other state or local law Ieq,Hat nq construction or the V
ce of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONSyRwnbirg 10.00 I
DATE OF APPLICATIOR"rCh 2, 1981 SIGNATURE OF APDL ICANT Je_' /`u+) Mph, 4.50 '.
SPECIAL APPROVALS SPECIAL CONDITIONS
NE •L N.0 Cool ..—les
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I - - .'{EPA
Mobil.Herne
k —
Other RIPAINl
uI110
,muminU - TOTAL E 14.00