1982, 12-03 Permit: P82B-1134 InspectAPPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NOAT•.tt fa I. SMON f E•o.•NE. wAFNINOTON wave/ lapel sae 361E
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
" "z4fr
LEGAL DESCRIPTION — SEE ATTACHED
-.21w/ c 17r!rdz° E)
% -.uf
CO A TOR
A CEL NO/6666 /6
•
°Y%c 361/
5.
GOV( I/ 6064
Actufs So Veal
p N1w 0 ALT. 0 Ro•N. 0 neL. 0 myc
T. or q6 .La $ -•LN.. D 1100. 0 0..L 0 Foot.
0 0TN11
CERTIFICATE
ef EXEIMTION
al Jm. ae ra; new,
FEES COLLECIEO
9.
1 hereby certify that 1 here read and examined this er application and h read the "NOTICE" provisions included
on e eand
side. a know the some to be true and correct. All provisions of leers and ordinances governing this
ry peof work will be complied with whether specified herein or not. The renting or a permit does not presume
to gwe authority *0 violate IN Cancel the provisions of NW other state or Ioc.l law lacing construction the
nertormance of construction. SEE RE ER SIDE GDR REQUIRED INSPECTION
°ATE OF AavLICATION SIGNATURE OF APPLICANT
Somme
geiNip
Man.N
Elm 0.00
SE•A
MoEiM I*
Other ISSNC0fvl
TOTAL E _,[' ,/__
10
I 63
g2.gun- 1
REC„EIVEe_r •
/NIt4E: .... 7' = r*1.r1est
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
/37.f
®/r ��!