1982, 12-17 Permit: 82A-4140 Inspection�ANr.�MRER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH SII ,EP PERSON , SPOKANE, wASHwOTON PPM , Iswl.se.ae.e
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/6
s.
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C .u. D Ao.N. O ... O save.
O.L"e. Oi..ECH, O N... O POOL
0 OTHER
No. ENI
No. stones
No. R000,s
ECyR IC
CE TIFICATE
of EXEMPTION
L•Ca,l•. IA NI
USE CODE*
N LIANA. 0
I hereby certify that 1 have read and eaeminsd the application and have read the "NOTICE” prwisions included
on e side , and know the same to be true and correct. All provisions of laws and ordinances governing this
Ivpeolr work will h complied with whether specified herein or not. The g{Jl tin of a permit does not presume
to give authority to •iolate or cancel the provisions of any other state or 1.3' law regulati• • cons �� w the
Performance of carntn,etion. EE REVERSE SIDE FOR REOUIRED INSPE IONS
DATE OF APPLICATION SIGNATURE OF APPLI •:•; ��I Imo` ��'�
SPECIAL APPROVALS
NAME DATE
A.A. E..., _
iLCIAC CONOITgK:
0 ,800
so I Asp,. rot Poo
FEES COLLECTED
TOTAL F / /
!PERMIT NYMEIE.
00• •1000
• 1000 h
• 10.00E
A •C00 C
01342
C5 -25 -82
8 6479 p�
—. ^MACHINE VALIDATED IN THIS SIACF.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
�ol_ i7
2- Ld • �f' � ��1r„! de'. /(TZ-e-4