1983, 01-24 Permit: 83A-0449 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
ye S3
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORF. ell JEFFERSON / S•Oe•NE. wASADNOTON geNIO 1S091 3676
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
2fril
JOB ADD117RESS /3/9)7.
CL1-
---—MADSMFV-Cfli
LEGAL DESCRIPTION - SEE ATTACHED
5.
ADDeESS C‘
CONTRACT VI
PARCEL NuAO8Filf,
ZAP
h -YIL-S-AAILL eL.
OES1ON R
9d (-P,L 5
Fp,
L-
OfIn iS0o111
OAzo of Po.o.
Dv.. ON° SI•o'd
CIOANGE Of VOL FOON1
IT°
Mom Slop I Woo, Poo.
°ham AN• 1 mower,
0 ALT. 0 ACCRA. 0 RP,
ElLo.
o oTNER
Do
OESCRME woe f •
& /0 /4_11). _r „
yALvATiONI souRCEit CAS IFLECT RIC wATER sEwER
urit7DES
hefeby Certify Om/ have read and evarmned thiS aPpliCallon and have read the "NOTICE- proythons inCluded
***** le Mde. and know the tame to be true and correct. All provisions of laws and ordinances governing thiS
type ot work wt11 be complied with whether Specified herein or not. The granttn of a permit does not presume
to wee authority to hotate or cancel the oroyismns of any other state or local law regulattny construction or the
performarye of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF AP•LOCATION SIGNATURE OF APPLICANT ,96
SPECIAL AMMOV•LS SPECML CONOIZIONS:
NOME 091E
of EXEMPTION
Owwfmie i USE CODE
PoOlk PAIoato 0 I
FEES COLLECTED
S
Sued,
Plvenknee
Ch S
SEPA
MobJe Norm
00e, iSoacify,
TOTAL $
- i4'2