1981, 05-07 Permit 81A-4293 Inspect,ica 5 6(
ADDRESS
INSPECTION RECORD
DATE REMARKS
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APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 01t JEFFERSON / SPOKANE. WASHINGTON SS200 / 16091.66.3070
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
e AOOR
.1R4 ®uJi
(a.
OWNER 114 - mr1'I'CJS'rL�111-r 1°
t451
CONTRACTOR
d' ADDRESS
10?I4-f°
CHANGE OF USE FROM
PNO
PHONE
ZIP
TO
Reims..
UVVN N °cram. Area Storage
/Anlgr
Area Omit ��$
LEGAL DESCRIPTION - SEE ATTACHED
PARK, 15543 /A/9
i• or Psi/5 r>p S V,z TicAOrL 117 LYA.
sag oHrActual Sal 4r6'4e,u` t'. 14Y' 115
ISISauth in 4¢ Eas1(5!/1.wett
Size of areal Zane llon
T9.
gar E�710 T MJL-fa•1-rn*1- slug,
r. I Oeweugnr ❑v 6PHnq O
f er �tNe ❑ q.a'a.
at
Finished Satemrat I Un11n.Easement -
No. Staler I Na.
nee IJI
CERTIFICATE
OESCnI9E bRK f EXEMPTION.
_CI- \11 Enum. Dist. !Location (Area)
ppAL�It�/�/'I.��I,jt N 60URCE rI- 4.1 F.L[CTRIC gTER SEwEq
g. At VV� ILITIFSI• 'P�y/W'-'P,.`1I °Newsomvi, USE CODE
certify that I have read ond,exte Ined this a Ipllcedon and have read ithe "NOTICE -rate
hare�
on reverse side, and know the same to be true and correct. All provisions o1 laws,and mrhnanc sigons governing
t included
type of Work will be complied with whether specified herein or not. The giantin 1 a s not presume
this
to give authority to violate or cancel the provisions of any g o pn„nil doer not ll wme
performance of construction, SEE REVERSE SIDE FOR REQUIRED state
eg1Rel��u; or -instruction or the
.TYPE Ew 0 ALT. 0 AWN. 0 RPL
w0 RK aLO. 0 PLMO. 0 MECH. 0 M.M.
DATE OF APPLICATION
SPECIAL APPROVALS
NAMR OAT
❑ MVE
O POOL OTHER
SIGNATURE OF APPLICANT
SPECryL CONDITIONS:
••ss.0
t Lati�ti�KOtit�t4� µ
I krJ)
Giga64.yd,er as e*o.i7_,i o3
gel47X .3a/F
D, cPils *yT314
sYaerir2xet".K.94
9444/0,
FEES COLLECTED
Single S
Enildme *4l$.e0
Plumbing
Mach.
Wan cheek �> -
SEPA
Mobile Home ,.,
Other lSPaellyl " j.
Acrzmoyg,?uwcPcae
TOTAL S ( I.OJ
I WHEN MACHINE VALIDATED IN 1 HIS SPACE.
15•
•263001
•28300
*263005r
• 000 8
.hn2
04-21-81
2 6479,
05* *800
*800 Ya_
*8008
*000 8
42912
05-04-811
2 6479
020 41800
*1P1800 5
•418005
1+ •Q00 8
r1�9.22
OSL04-8,1
6479•
f