1981, 01-29 Permit: 80-7187 InspectPLAN nuxkcR �—�
APPLICATION/PERMIT
SPOKANE COUNTY G CODESeDEPARTMENT
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•COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS ter, 6
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LEGAL DESCRIPTION - SEE ATTACHED
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PApEELNuxe[pA
565*30950 G
OWNER
RAcar W a[rss
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ADORESe
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ZIP
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SNa of ParNI ZPMCNaRINllun
COn55ACTOR
4, POOR Sa
PHONE
ZIP
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rvo ❑Pty's.
•BulNlr
DESIGNER
PHONE
VNualDn l /Um In 5a. Fv
6. ADDRESS
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Mem FIN, UNx Floon Gawp 0,91 50959
&nmant
CHANGE OP USE FROM TO
Arty of OK ks Plnrs0N BEN Unfln,
Owalllner
7,',v.. D 0 PON. ❑ RPL D NUE.
n. Baths Na. SINNE
No. Rooms No. of
ALT.
T. won, .D, DNAI.. DMZCH. 05,N Dpp, O0,...D
CERTIFICATE
I EXEMPTION
Rop P. Pec d. rat Rp'd.
ORN
a bCReEwo N
CNN*, e..: . oJ o01,5ALVATION �p 6
Ewm. Dm, Loullon lArwl
FEES COLLECTED
Swale 3
OURCF AS E CTRIC WATER SEWER
B. ruilEs
USE CODE
owanoo 00,0.l.
Public a
I hereby cefbly that I haw read end examined Ih, ap'iAlcuto, end ',wm I the' NOT, ' •^a cions Included
ro,
side, and kn*5 same to be true and c0f1ECI All pr ,:n9mx of laws and 0llmancee governing this
type of work will be complied with whether specified harem or not The granting 01 a pn,0,1 does not brume
to give authority to violate or cancel the provisions 111 any orhn; h,• uncal law m nr • 9nstruenOn or the
PNl0rmarce 06 construction. SEE REVERSE SIDE FOR REOUIRED INSPE ..,nr•
OAT
OF APPLICATION
SPECIAL AFP
NAME
Building
SPECIAL c0NDITIOIY,
oimaue-v TD asO2u0 p .CrEEA FN Me""""'"
W1040 !M' /MAnt %i pvernr'[6 0,0o/oven
S7AwOAroS
Ran Cheek
8956 --
Mobil. Harty --
Othx lEpeeipl-
TOTAL 17_Z
OWNER
CONTRACTOR
N S E W
SET BACKS
INSPECTION RECORD
LOCATION
TYPE OF WORK
FINAL INSPECTION:
1