1982, 07-19 Permit: 82A-6091 InspectP'Ec• n
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH .11 RA KE INION i SPOKANE. waANINOTON •93.0 1030.1 .511-3670
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
w.NEA 11.04 Bell
1 ADDRESS
CONTRACTOR
ANONE
AR wt./He Rs
lse Nnchantr>f fnntr*r
.. eIlEsf
W. 611 Tieton Spokane
• RODRESS
CNA/NSE Of USE F
iRO..
Tyne a Ne.. 0 ALT.
7. D
NORA D cLo. FEMA.
SIP
PHD
666 FAssn
99218
Actual act ••.0IP at
Rw 10.0
Tye. Cana.
Ciaulficallon
❑v.. 0.0 u 0 a«•.,
.NONE
Valuation WIN*. .a NSo. Fl.
ZIP
Main Plod
UN.. FNw. I o. act Au.
1T0
A.. of backs
0 A N.
0 MECN.
0 R.E
0 M.IE
0 ..os.
.00l
0 OTHER
Ie.10100.
BaoNnant
No, doom IND. or 0-• s.
CERTIFICATE
oI EXEMPTION
DC505051 pro install gas piping/one outlet
,..„,,S0511
07
1 ELECTRIC 1 WATER I
Enurn.DNI. f L0411on IA..aI
Owner Wle
10410 Denver. 0
us. CODE
B N. 'NOTICE" provisions included
n reverse
Ovide. and
I ow read And examined be ru this •correction End have read,
the
sib. MIt know N• with toe eros *rid if cwr.cL All pronot. The 1 tingaws and ordinances . not governing Nis
ry� of worn will 0 04405complied with M. PO 05 specified env
« not. Th. local .14 rI • atinnit d«snot 0r .w m•
ro forme Sta«ItV ro r ctio .S cErRE N. SE SI ION of .nV oder sub or ECTlaw regulating conUuption « the
«rt«In.1v of construction. SEE REVERSE 500E POR REQUIRED INSPECTIONS
DATE OF 09•LICAT140 SIGNATURE OF APPLICAN Q'LI•C4RF.1).
MULL405*00AI1 VIECIAL 00000ITlol1•: 7
Install gas piping/one outlet' --
.aE I Rae.. rot Fro,.
FEES COLLECTED
50
aYlNl.e
2 00
TOTAL E 17 no
PERMIT NoURER
04. .1200
.1200E
A .000 9
606.0P
0716-82
P 6479
1MIEN MACHINE VAL !OATS(' IN THIS VACS,
p»Al
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK ``_
FINAL INSPECTION: � 1;1-��` f - r '
DATE REMARKS:
9 apt - e% /%5 /ice -�� �►,, �L ,o , �