1983, 03-28 Permit: 82B-0069 InspectNum RER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH•Il JEFFERSON / SPOKANE, ASWNOTON DDDeO /ISODI e663e76
q APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
A� b� , TUN o.
2 1
1 III. Likia, LOILA?D
IRA
c
CONTRACTOR
sl •
LEGAL DESCRIPTION — SEE ATTACHED
111-/1119
Ar
a1
CEL NUMBER'S
Anuel Set e•eks IA PAN
AOLIR
ONE
ADDRESS
CHANGE,. -ME RO
TO
PAO
el
Ares al DEEL.
Ftoors
Do.. DN7ORw•e.
Nip Ar• In So. FL
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ONEW DALT. 0AO'N. Oa.. DMvE.
0 BLn 0 ■LMa. 0 MECH. 0 N.N. 0 Root 0 oTNEA
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43 AS Y4
vALION
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a.. Reams
CERTIFICATE
oi %EMFTION
cTRI WATER SEWER 01st !location /AP
RA
c I_ ek❑0.AN.❑ US CODE
I hereby certify that I have read and examined this application and hey read the "NOTICE" provisions included
reverse on tide, and know the same to be true and correct All provisions of laws and ordinances governing this
tvoeof work will be complied with whether specified herein or not The granting of a permit does not Presume
l0 give authority to violate or cancel the provisions of any other sate or local law regulating construction or the
performance of commotion. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
GATE OF APPLICATION
/0.13-02,
GRAVURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
RAMS DATE
... Nee
T... M...n.9
e. }let Rw'a.
FEES COLLECTED
5,pN
mouthing
MaN.
Men Check
SEPA
S
Mobile HORN
Oh., ISpecifvf
TOTAL i ✓`�
04• •2000
•20004
A •^00 8
6B-0
10 -25 -92
2 6479
HEN MACHINE VALIDATED IN TH,S WAG
THIS BECOMES A PERMIT.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
3 lr ,i 1 e.y.�Y` //,/ Eee
57/570 7-76.; tit