1981, 07-30 Permit 81A-7626 InspectINSPECTION RECORD
ADIRESS
DATE
REMARKS
te4--
PLAN NITMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH BM JEFFERSON / SPOKANE, WASHINGTON 99260 / (609) 65626e6
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
• JOB
ADDRESS
x.Lol [oq 13^-0JW
Vrlr1
OWNER..
3 Wltfard Ce Beerh9r—
A RE
31 1 ly► 1'SSIOYI
Die 1-7; Rr,4Aers Conk.
DESIGNER
E ADDRESS
CHANGE OF USE FROM
a
TO
at-b399
zlogla.Ob
PHONE
ZIP
TVPE 0 NEW O ALT. 0 AWN. O RPL 0 EWE,
T. wonK ❑ DLO. PLMO. 0 MECH. 0 M.H. 0 POOL
OF
OTHER
LEGAL DESCRIPTION -SEE ATTACHED
PARCEL NUMBER/S
08541.3—o w
As uH Set gigots In Fool
North ISeeth
SIM or Parcel
Eatl 'west
Iona Clestinallen
Type cons(. OuupmSY Sprinkler.
Oyes Ono ❑ Rep.e.
ValueBon BOIIEIns Ara In SO. Ft.
Main Pioor
Upper Floors Demo Ara
Area or DeeMe
No. Baths
No. Stories
No. Room!
MON9a
Uniln. Basement
Na. of Dwellings
CERTIFICATE
f EXEMPTION
Read.
need. INot Raq'6
D Aes WORK
d Cf.VLf,I
VALUATION/SOUR CKL OAS EL'ECTOIC WATER I SEWERINrs❑prralo �l
' 9. 5140A.rM uT,Err..s
I Ilmehy cetlily 1(101 1 ii000 lead and axwllllled This oppIIC01io11 and ham lend the "NU 1ll:1 ;nip/Wong int:ICl/Inl
On levorse side, and know 111u some to be due and correct. All pinui.mus nl I,lws and ,.,d,n:mros gnuemiltR IhN
type of work will be cornpliod with whether specified herein le not. The 9l antlnil of a prluR,I (Ions not lumunIe
to give authority to violate or Cancel the provlslons of any oche, state or Inca) law maul:nmo Lnnalructlun niNN
performance of Construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS ��
SIGNATURE 01. APR 'CAW _- 71/i��"�✓ 9e,
USE CODE
DATE OF APPLICATION 7/. /Q
SPECIAL APPROVAL. SPECIAL CONDITIONS.
NAME DATE
Fee. flee
P ee, o
Engineer
an. Exam nor
FEES COLLECTED
Single $ .00
Bulldlnp
Plumbing
Maoh.
Pi•n Cheek
SEPA
M bit H ma
Other (Specify){
TOTAL S e'~b.06
020 .5600
•�600
•56008
•000 8
76Z.5�
07-30-81
2 6479,,,.