1981, 03-06 Permit: 81A-1614 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
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rueAr.nE APPLICATION/PERMIT PERMITNUMSCR
1 SPOKANE COUNTY—BUILDING CODES DEPARTMENT Sly-1(D14
NORTH SII JEFFERSON/SPOKANE,wASHINOTON WHO/ISM 5569616 ill
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APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES till
1 AS ADDRESS
t; Lp ja IpTN LEGAL DESCRIPTION—SEE ATTACHED 0 3* *500
LD p1�d[Dik sIMblvlsaN PARCEL NUMSER/N .500
5n
2. OWNER •5008
a •5TE2¢1_1N( AMR...NS cla. 3I 1 •000 8
ADDRESS ZIP /if Wel t Sacks In Past
E.16214 16T* 4O 'C‘ orm Se 161.32
CONTRACTOR PHONE Slae of Parce.cklSoetn t on.Claml.Iut0 lo,
0. aft LUKKE2 9EQU1[E 02-18-81
-Ao R� 0,t.:.; T.. yP.con". Oocep.na SWMklar.e /4t64rT.aYy,
f. 202 ❑y.. 0No ❑RaA'a.
.DESIGNER PHONE Vamatmn SoltdIns Arm In SR.Fl.
6' A00RES5 ZIP Main Floor UMW Floe SI
Clara.Arm a.ae. `•'
CHANGE OF USE FROM ITO CU of Docks P0110.5 B.ument Unfln.S.Nm.nt
4..
TYPE It'NEW ❑J ALT. ❑ATTN. ❑RPL DOVE No.S.M. I No.Storm No.BOOP.. N e.el Dw0llnes
7. WORK ❑SLO. Oa ALMS. 0 M[CH. 0 M.H. 0 POOL O OTHER CERTIFICATE Rp'o. Rp a. Flat Rp'e. •
• DESCRIBE WORE of EXEMPTION
yAWA ROD SOF wNEe Enum.Dbt. Loullon tArpl
E. PEES COLLECTED
L T CE OAS ELECTRIC WATER SEWER USE COOS
E. LOiIES Public sO Prem.0 ,
Single E '
I hereby certify that have read and examined this application and have read the"NOTIC,provisions included
on MIME aide,and know the fame to be true and correct.All Prov isions of laws and oulmames governing this '(
type of work will be complied with whether specified herein or not The granting of a pnno.t dues not presume Building
to give authority to Violate or cancel the provisions of any other state or local law regoialliv,construction or me
46.00
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing ✓ 1
GATE OF APPLICATION_.-. ___SIGNATURE OF API•LICANT______ ____--_ Mech.
SACIAL APPROVALS SPECIAL CONDITIONS:
HAMS DATE Pim Chock
Alm.HMStPw ra
PunningBEPA
N Marmell 1PP
WAIN Nom.
.Endn... Other IBpseifyl
IRM.
TOTAL H S.co .1;
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i 151 e� - WHEN MACHINE VALIDATED IN THIS RACE, 's