1981, 04-20 Permit 81A-3682 Inspectsc/.2e/si
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH all JEFFERSON / SPOKANE. WASHINGTON 993e0 / MOM 468.676
APPLICANT: COMPLETE NUMBERED SPACES
.44.41
t ADORES:
2. 7
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a DI eY;—/left.
OORYSS
P /AROR /Ay
O/NTRACTOR
A DRE95
Art i/nw.ylJ
DESIGNER
ADDREY
— PRESS HARD TO MAKE 3 COPIES
PHONE
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LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
.LDrU X,3LK /7
Actual Set rd wN Feel
FH/!/7DLEg
North
Iseuln E�a.,Ne� lj�(
Sin or Peron /
r2
Type CanfL1 O mdP.ney
Valuation
Main Floor
'yLD D/
zone cies. !ration-�
Q niA a./.Nndst
Oyes LJNo N10 Rao..
alAidi. Aral Ir, Sq. PI.
*04
Upper Floors Arm
Storage
CHANGE OP USE FUOM
TO
TYPE 0 NEW 0 ALT. 0 AO'N. ❑ RPL. 0 PAVE. M] OTHER
WORK 0 OLD. 0 PLMS. 0 MECH. 0 M.I(d I❑Pt{04 "
8. O C(WO K
ALRIaEVATION SOURCE GAS
9. Wi TIES
ELECTRIC
Area of OWN
No. Baths
1
FMNyga.almenl
Unf In. Basement
No. Sterl.s I No. Reams INo. of Owenlnes
J 3 Rec'o, rot lured.
CERTIFICATE
of EXEMPTION
Enum, GIst,
WATER
SEWER
Ownership
Public 0 Private
Loutlon (Aral)
USE CODE
I hereby certify that I have read and examined this application and have lead the "NO In': ,..ortsions
included
reverse side, and know the same to be true and correct. All provisions °( laws end emsgoverning this
type Of work will be complied veldt whether specified herein or nnl. Thu gianling of n i, ,lies not presume
tO give authority to violate or cancel She provisions Of any °the, st.nv •,i meal law ,eq°i'R.ii..', nlUnction of the
performance of construction, SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION' / D .SJ2.__ SIGNATURE OI API'LI('AN
SPECIAL APPROVALS SPECIAL CONDITIONS:
DAT.
R,IY. II
Mih
ReeM.
FEES COLLECTED
Si PI
Building °/.!
Plumbing
Mech.
Plen Check
SEPA
Mobile Home
Omer ISpeci(yl
TOTAL •
u2• •1000
•1000
•10000
A •000 0
S6FIA
0U-20—B1
6479
11I1LN MACHINE VALIDATED IN ONE SPACE.
INSPECTION RECORD
ADDArSS
DATE REMARKS
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