1981, 04-16 Permit 81A-3630 InspectSOURCE
CITIES
'PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON S ISSO / 16001 see -MS
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
OE ADDRESS
1. N.Z215 IiA.E01BTd kO
C'IDLE111AN1S S1J$01 UI SIoM
DW ER
Ttrees-1 L. ;••••EKE
• ADDRESS
N121.15 e.LJLEWIAAJ
CONTRACTOR
S/Rua
S,
ADDRESS
yRHf
DESIGNER
ADDRESS
CHANGE OF USE FROM . ITO
7i
isHoNE
GTL-tba5
E
n�aI�P�
PHONE
ZIP
PHONE
YIP
TYPE IL NEW O ALT. l AO'N. 0 RPL ❑RAVE
' WORK Itl BLO. ❑ FLMB. D MECH. ❑ M.H. 0 POOL
DESCRIBE WORK r��
& OQfl&%lio R Aooitionk TO L'DIDEur..6
VALUATION
lL*432.DD
I hereby certify that I have reed end examined this appllcalion and have lead the "NOI WI" I,.wlslons Included
on reverse side, end know the same to be true and correct. All provisions of laws and governing this
type of work will be complied with whether specified herein or not. The granting cal dons nor presume
to give author ltv to violate or cancel the provisions of any other state or local law IegiilaInn r:nnirucnan 1.1 the
Performance of constoaCtinn. SEE REVERSE SIDE FOR REQUIRED INSPECTION
GATE OF APPLICATION 7/ SIGNATURE OF APPLICA
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
0 OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBERS
IZ5 S4-3b3
c uM Set 9en0f In Feet
Normsoma 55r East
'Walt
Size of Parcel zone ClasnnotIon
wox i AC, 4aw81oao *ed
Tyo Conat. I OuupmsY
-m R'S
wmam.d
Yes Orm 0 Req'd.
Bungles Pros In so. Ft.
Y•T4on
.112 .or)
Main FlOOT Upper Floors GMuo Arm IDSgrage
Arm of Oenxa I Flnlesu easement I Min. S Mment
No. MHOS I No. Stories I No. Room. Igo. of Dwain..
CERTIFICATE RHO. Keep, P1019u'e.
of EXEMPTION I �1//
OAS
ELECTRIC
WATER
,..• 11tII. e . onN1TT
SEWER
5E91t4
Enum. Dist 'Location (Arm)
USE CODE
Owmrmio
Public D Prin. N
FEES COLLECTED
$1 61 E$F
Building T 1D•Pa
Plumbing
Mesh.
Plan Check
BEPA
Mobile Homo
Other [Specify)
TOTAL $ .10.00
WHIN MACHINE VALIDAT.D IN HIPS SPACE.
Tuln RcrnMla APERMIT
• 100
• 1 000 8-
•1Q008
•000 8
04-15-81
8 6449, •'.r•,••r
i
ADDRESS
INSPECTION RECORD
DATE REMARKS
1