1982, 11-24 Permit: 82A-9343 InspectionALAN No OER
APPLICATION/PERMIT
SPOKANE COUNTY BUILDING CODES DEPARTMENT
NOR,. ell JEFFERSON / &Pox AN, WASH1NOTON.0260 / Isoel ES. 301714
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
2,
3.
POO AOORESS
01.■ 2". /
LEGAL DESCRIPTION — SEE ATTACHED
OwNER
\
AODA ES
CONTRACTOR
Sw Racks IA Feel
NwIR 150.10
SU. Of Em.1
0,0
4.
ADDRESS
DESiGNER
DORESS
Do.. 0.0 CI K,
.•
Ei■
...Joao/ Floors
G•rosto Sloe...
---,NAN. Of USE FROM.
6
To
voE , NEW CI 09'.. 000 0 *AVE.
0 0
0 W.W. 0 POOL '4E'
No. IllOervir
No. e Pro•Illnos
I=Z0vORN
9
certify that I hea read and examined this SOPliCelion end have mad the 'NOTICE" provisions included
on raven. aide. and know the Sense TO be Inso Grit correct. All provisions of laws and ordinances governing this
am be complied arid. whether specified herein or not The grantin *00.004 does not presume
woe, mmonty to violate or cancel the (000(0010 04 any other state or local law regulating construction or m•
performer. of construction. SEE REVERSE 5006 (0* REOUIR ED INSPECTIONS
/OA SIGNATURE OF APPLICAN (5-
•
V•LUATION msu
.:s
,/
GAS [LEGER. W E S W
CERTIFICATE
el EXEMPTION
Olat.
Ownervire
r--
Pulail, 0 INN.. 0
...FOAL APPROVALS
DATE
Asa
Co. M..
SPECIAL CONDIT
FEES COLLECTED
S-rsel
•viMins
moespi,
.2 0
Plan C..
SEPA
Moto. Noma
Other ISeamle)
TOTAL
PERMIT NUMISEIS
718, 343
04• • 2000
• 25006
A • 000 F
93528
10-11-82
0 6579.
WHEN MACHINE VALIDATED IN DOS SPFCE.
7111S •ECOMES A PERMIT.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS: