1981, 04-07 Permit G81A-2990 InspectTYPE ❑ NEW
7. OF
WORK ❑ BLD.
CRIB
a DORE.. 14/13 e. 3RD e
LOT1 E[QCI� I SUSolviswN
I Il
OWNER c_S. A0GP
�.�urcl,31I
F<S ////3 e. 340
▪ Ser✓tat
4• ADDRESS.: l l qv., e
6. ADDRESS
r. NUMBER
APPLICATION/PERMIT
SPOlKANE COUNTY N / a.GBUIILDING CODSHINGTON ES DEPARTMENT
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION - SEE ATTACHED
PARCELNUMBERIS
giv- /08'_ Actin! Set Backs In Fo.e
99ao4 N:n •r..l isont...
Pa
5 7 3
P94aot!
ONE
e.
CHANGE OF USE PROM 1T0
❑ ALT. ❑❑/yO RPL. N. I1 ❑ MVE
M1D
❑ PLB. Medl ❑ aLH. 0 POOL
• VON OURCE�DAS
f^
6. uTie TIES
I hereby Certify that I have read and examined this application and have lead the "NO Ti1:E" provisions included
on verse side, and know the same to be true and correct. All provisions of laws and iIndd' dummies governing this
esume
type of work Will be
give autllorlty,to violatecomplied
or cancel the provisions specified
any other state or granting local law regulelinal` �Istructi nr
oes not
toor thr
performance of corxtruclionn..S � REVERSE SIDE FOR REQUIRED INSPECTIONS ON
DATE OF APPLICATION '7.
ISI SIGNATURE OF APPLICANT a"S 1,"—
�—r----
SPECIAL APPROVALS SPECIAL CONDITIONS: ��j�,E�
NAME OATS raems' O� V-�vna.c.„. �
75
P4041 I W( Ga c—GALS
2t4V4fLe.
Pre V.e la i5 , / /A/t.), GitsP1pZ.
minim arid 5 / la i,U' h
❑ OTHER
w coon
Valuation
Mein Floor
Urn Ploon
Area of [make
No
Last
om claasnbtlon
winkle,.d
❑,,., Oleo 0 R.,e .
Bulldlne Area InSq. Ft.
Flo Basement
Area
Mora.
Prate. sesame.
No. Rooms 1No. of DwellIIIS.
CERTIFICATE 1 R•q'n. I law 'a. riot R.q'd.
of EXEMPTION
Enum. Obt. Il.ewpon IA7..I I FEES COLLECTED
E..m1en
EL
RIC
TE
SEWER
OwnerNlP
RABIC 0 PrWne ❑
USE CODE
Single
Building
Plumbing
Mech.
Plan Cheek
SEPA
Mobil. Home
t,Othherrr ISPeoify�
TOTAL S /
y�sy
su1Do
PI0_
PEPMIINUMBFR
blh-2-
Q4. •1800
•1800 .E
• 1 8003E
A •000 8
2989R
04-01-81
i.. 6.4994e
OWNER
INSPECTION RECORD
CONTRACT -CDR
N SET BAC IES W FINAL INSPECTION:
DATE REMARKS:
LOCATION
TYPE OF WORK
1)