1982, 06-30 Permit: 82A-5539 Inspect[Am N„Nae
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH all FFFFt REON / SPOKANE, WASHINGTON 50250 / IOW 4e0-2211
APPLICANT: COMPLETE NUMBERED SPACES- PRESS HARD TO MAKE 3 COPIES
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OESMNER
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LEGAL DESCRIPTION — SEE ATTACHED
ARCEL NUM.ER,
Actual EM Naw. In I
MErfn 122010
Sua al Parr,,
lana Ca Mllwllen
2.F
ZIP
SA
Go.. Ams FL'..
VaWalIen
Main Flow I 1.12w Free. Goma ATM I
CHM .ISE OF VS Ro
TYPE
T' woaA ❑ ,Lo. pin a. O Paccar. ❑ M.M 0 POOL
13 new 0 ALT. 0 AOM. ❑ 0.- 0000. 0 oTnER
M6CERTIFI i TE •atro Mo. Simla. No. Roams o. or oo+nnma
N EXEMPTION
num.CHG.,. ILOC.wnlATM1
DESOM
vAluak MN
GA
ELECTRIC WATER SEWER O norenle . USE COO
0FM. 0
I hereby certify that 1 have read and examined this application and have Nod Ow "NOTICE" peovillon. Included
raven.on Side, and know, the tame to be uua and correct. All provident of Iowa end ordinance Oovarninp thl.
Nos of work will In complied w00 whether Specifi.d herein or not. Th. granting of a permit do.. not presume
to give wdaority to violate or cancel the provisions of any oder State or 10011 law rood no construction or the
performance of covtwctiort SEE REVERSE SIDE FOR REQUIRED INSPECTIO
CATE OF APPLICATION er,/a/k.:;;L SIGNATURE OF APPLICANT .may •IL/ILP
SPECIAL APPROVALS
RAMC
Ca.
Tina Emnawan
OWNER
EPECIAL CONI ratio
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Y!o
8- .,44t4..— J'
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yj'�v%AaS/eI�eW31! r
FEES COLLECTED
Trois E
,ulMlro
NMMIro /gY'e ri
Plan Ch k
sErw
WWI. Nona
Oder (SPOON)
TOTAL .SAV
'
OCRs., A"ih�
03. .181.00
•181008
R .000
553es
06-29-62
f 6679
WHEN MACHINE VALIOATEO IN THIS SPACE,
INSPECTION RECORD
CONTRACTOR
N S E
SET BACKS
DATE
LOCATION
TYPE OF WORK
W FINAL INSPECTION:
REMARKS:
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