1983, 08-01 Permit: 83A-4375 Inspect4,4 Oil I
APPLICATION /PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
MORON •I1 IE•••AEON / SPOKANE. WASHINGTON waEO E 1•en1 4s4o•711
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
/OE ADDRESS
I, 10 2 T096iMR(ER
7 10 2 I Mission Ridge first Addition
Ow
a Wand I 979 -7542
.05R 21LPine —Rd M 4206
LEGAL DESCRIPTION - SEE ATTACHED
CONTRACTOR
A000
ANON
- EKErEL MUMEERR
09543 -1910
DESIONE
A• DO. LS
Actual 30' I•�so.m 531
Igo of Pot ow
die.
10'
FranIE. 4
V•w'�i'7(., SSV' wenMa1705 w 1«
10 X
I o«•. Nn. .n..n.
16 •N� 540�I 1 --
CNANGE Oi USE • ROM
t
TO
K ENE. a ALT. 0 D eft- D N„E. ❑ oTNER
7• GI CKIR-13. D Is.. O NEC.. O woe. ❑ POOL
No Roos Na So. M N•1r.n.
4
CERTIFICATE
of F%EMPTIOON
Lout an IA ••f
rw. pr O ^•� .
N cot,+EE
1472.00 ION 0. .IT .R
a N•.ebe wady Owt 1 here re. end E*M.i00 NNE eoOINAtion Ed hew read the ^NOTICE'. provision included
, ▪ metes side. e..d b.eW e.e Earle io Ile ten end Cerro All provision of IEws and ordinances gowning this
rvP M worE wal be o...elied wil0 *below sp.c'R.ed IM• ^n or no The pr.ntin of a oennit dens not or*wma
plea a•O.Orih W .iF•es a cony 111E peandw e1 wry other state or local law "palatine construction or On
• owes ce d Epsp.cteol SEE REVERSE SIDE fOR REQUIRED INSPECTIONS
fla
. ern 41
Modern Septic
CODE
sulok 0 P. wee
G ATE OF APPL.CATIONJ54411 9aT SIGNATURE OF APPL CA
.ECSAL AI.R004LS SPECIAL CPINIT1ps
ME DAT
Sre
FEES COCLECTEO
Y.yM E4-i .De
PhfoO N1
Ion Chock
EEPA
Wt. Mona
OOr ISOCIN
TOTAL
"(375
02• • 427 00
•427000
A •C00 8
437.4!
05 -23 -83
6474