1982, 01-15 Permit 80-9106 InspectPLAN NUMBER
.r/26/ed
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE, wASHINOTON 99250 / (6091 4660076
PERMIT NUMBER/.'.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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DESIGNER
S. AODREAS':
CHANGE Of USE FROM
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VALUATIOozill N pp5 n�o C ER SEWER Ownership USE CODE
Panne 0P.Ivale O
SOURCE
UTILITIES
I hereby cal lily that I have lead end examined thle eppheellot' old We,.. -NW I I'r' nrnvisloni included
MargeOE side, and know the a In be true and cu eLI. All pluersion, nl la -ll.nallces EOml REM this
typo ofwork will be complted with whether specified IIe1 Pill of 11.o1. Thu ,loos not presume
to give authority t0 violete or cancel Ole provisions of any omen Wale nl local law '�111,1•I a oonstruell0n o1 the
performance ofwopatuotIon. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION gigs+9� SIGNA Lt1HF Or APPLICANi•
�F�y1J�T�
SPECIAL APPROVALS
NAME DATE
:env. Heelln . ..P,meererimew,
rein,.
Fire M.rnhall
4•�
Co. Eno
Wem E.amea.
SPECIAL CONDITIONS:
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL .06/0 1 18914
1 jo9
Actual 5., Becirs In Feel
Lest
(sown Eesl lnfl
Sim of Parcel Zon. Chvlllutloa
Tree Coml.OKumncY 09100lx.O
DV.s DNo ❑ Rp'6
Veluetlon Buller. Arm In S6. Ft.
Meln Floor Upper Floors Dar.O.An. Storage
pare. elemm.nl
Area al D.c0O I Flnhh. °moment
Na. Baths I No. Slorlm
CERTIFICATE 1 p.v d.
of EXEMPTION
No. Rooms �NO. of Ow.11ln.s
ROoa. Plot R.9'd.
FEES COLLECTED
il�tJat �.
S'n91 S1L
Building
Plumbing
Mach.
Nan Check
SEPA
Mobil. Horne
Other ISpeelly1
♦v
TOTAL S�
02* *440
•4400
•44006 1?_
E *aoo a N
91042
08-26-Et. n;'•
3 6479. •
y,
a6 jll'
INSPECT ION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
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