Loading...
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,,,.