1982, 05-03 Permit: 82A-1474 Inspect1
APPLICATION /PERMIT
SPOKANE COUNTY BUILDING CODES DEPARTMENT
NORTH all JEg PERSON / SPOKANE.■Se 36
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
po• ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
1
OwNE iNe_(!grl% EO
�. .70 /. 6•a., nr-,
3 7GY .O.-o
9 >V- 57Yz
ZIP
46P
PHONE 61
PARCEL NukIRER/
welu.I 5.I Bark •t
soy m.
yY 0 7
Typo Con.
DESIONER
5' •00•E55
PHONE
VOuoion
). .A N c EOfuEE PROM a
•.oO. LT. 4 0�M ❑R DMeE.
0 .. 0 •+.. fl 000.
0 M.o. O eoo.. O °TREK
5C RIeE v.oaR
/
yj w,I° 5 EEC o `�
PAS
CHI
1we
ClaolOolion
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M.. .el ni � an Aa MK .mme.m. I Loom. m n
no..alns I No
I —3
? ono RTv
ELECTRIC rWATER
CERTIFICATE
e EXEMPTION
•
Location IAmaI
Ms w eRoom. IN . or a Dw011nes
SEWER
OwnamPlo
Public O0I.... 0
hewn certify that I have read and examined this application and have read the 'NOTICE" provisions included
severs. on side, and know the same to be true and correct. All provisions of laws and ordinances governing this
typ bf work will be complied with whether specified herein or not. The grantin of a permit does not presume
to glee authority to violate or cancel the provisions oa any other state or local law regulating construction or the
peesormance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
O.TE 00 APPLICATION f r"--
SPECIAL APPROVALS SP CIAL CONDITIONS: wo
:MOAT DATE
FEES COLLECTED
roe
Building
Plumb,
Plan Clock
SEPA
Mobile Homo
Other ISOaci lyI
TOTAL f 11 -°C.'
IPQ1A -U 14?/4
04• •1700
•i7Cn
•17006
R
•OCC
14730
03-04-82
3 6479
OWNER
INSPECTION RECORD
CONTRACTOR
N S E W
SET BACKS
LOCATION
TYPE OF WORK �(
FINAL INSPECTION: , 4
DATE
REMARKS: