1983, 04-01 Permit: 82A-5707 Inspectf.ARRVM*ER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Ell JEFFERSON f Pro1AN1, WAan.NOTON OMR f NNW 414307*
APPLICANT: COMPLETE NUMBERED SPACES.. PRESS HARD TO MAKE 3 COPIES
J011 ADDRESS7519I3 5
I. Beverly
LEGAL DESCRIPTION - SEE ATTACHED
L751LOCX
LOT s s r N
PARCEL HVRre[w.R
D. ""Bober, Poore
]
MON[ •
92e-y3ea
ADDRESS
E 7519 Beyer]v
SI•
99206
A.INei EN In FITS
,Ny_n7 ' 11.o,n lw.
CONTRACTOR
Ser0soft Systems
PHON
32r8—db51
MPARA Pen•CANDRAINA
•. AD aRrN. 507 Indiana
ZIP 99205
TINA CO.. 1 Orcu0.n*v fwInDINN
ay.. ONe 0Asev.
DESIDNER
PHONE
vNmnen Ounalns MN in SA. FL
5. ADDRESS
TO
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At. Dock. 1 Fe:NN .am
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li
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tort. eNtro 0 ALT, 0 *OTC 0 RPL_ 0 AWL.
OF 0 PLO. QPLMP. 0 NECK. 0 N.N. 0 POOL O OTHER
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...RNA* I No. HNI.* No. Room. re. el 00.111n.J.
CERTIFICATE A•¢ a. j #N1 cep e.
EXEMPTION li
OESCRINE WORN Soft Hater
B.
E«m O4L L*.aaen 70...)
PEESCOttocrzo
3'm4 It
VALUATION SDURC[ DAS ELECTAICT ATER 50010
g uTIin14s }
D.Imnnl• VSE COOS
MIN Dxnare O
I hereby certify that 1 he.a reed end examined *hie epplwelion and have read the 'NOTICE.'
reverseon Ude, oral know the same to be me and correct, All Orovisions of Iowa
Npeofwork will be complied with whetter specified herein or not. it.granting
to give authority to viols,. or oneel the provisions of any other state or local law
performance of constriction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
provisions included
and ordinance governing this
of a permit does not presume
regulating construction or the
e
u+W,q
Mumble. 5.00
DATE OF APPLICATION 6/10187 SIGNATURE OF APPLICANT
ANSR.
SPECIAL APPROVALS
NAME DATE
SPECIAL CONOtTIONS:
P, CR 1
SEP*
D..ch.nt
Nobat tem.
C. Free*,
Clow ,*.Wel
Jr I N
TOTAL t 5.00
INSPECTION RECORD
;Views NUMPER
57m
03• .500
• 5002
R •0LC E
57037
07-06-e2
F 0071
OWNER
LOCATION
CONTRACTOR
N S E
SET BACKS
TYPE OF WORK
FINAL INSPECTION: LI -('g-3
DATE
REMARKS:
/ ki.B