1982, 08-20 Permit: 82A-5537 Inspectll
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH •I I JEEP F ASON / HORAME. WASHINGTON HMO / ISM 4.43•311
APPLICANT COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
6, /
LEGAL DESCRIPTION — SEE ATTACHED
D..NEeY%n
3. rc4
y
�l (�z"itru7P Gey G, fiy
mon r� ZIP
PARCEL NUN•ER3
Actual HI Mc. In £✓I
5. wo
PHONE
ZIP
Valuatle
Dye. Ono 0
P.I. In S4 Pt.
To
NM O ALT. 0 MEW AIL.
1. , N 0 ',LC $ oe. 0 MEC.O u...
O MVE D OTHER
❑ POOL
n. Rawmant
N4 ••Ih. I Ne. alalw PIA Roam.el DwaPIA .
CERTIWATE Ye. Roc e. P.eI Am,
el EXEMPTION
Il
vnwnrwNlDTr
9 o�cE
I hereby Certify that I have read and examined this application and have read MP 'NOTICE" provisions Included
on side, and know the same to b. true and correct All provisions of laws and ordinances p•rning thio
MPe olrwwk will 5. complied with whether specified herein or not Th• granting of a permit does not presume
w give wthority to violate or cancel the provisions of any other state or lout law re at. construction or the.
wrlosmart of mlulnretionn,SEE REVER•T/'SSE SIOE FOR REQUIRED INSPECTIONS/
000E OF APPLICATION "' ' " SIGNATURE OF APPLICANT
SPECIAL APPROVALS NAME E I NZI, IONL
clAS
ELECTRIC it. ER
SEWER
EMIT. 0101.
"""an
FEES COLLECTED
00,00,011. 003E 0000
Publ., DPiN.I• ❑
51096 5
gulkkN
Plumbing
PINI Chock
SEPA
MoSI. Han.
00ha1 IEp0,IM '/J,'a�' /L/y
TOTAL E/�r�;�C
03. .10100
•10.1000
R •6:t.
553ts
CO -20-P2
r 60700
WHEN MACNINE VALIDATED IN THIS 500r•F
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
C #2b �-_ PrP �- )4,goiA