1982, 02-19 Permit: 82A-607 Inspecti
I.LAN NumBER
JO. ADDRESS
APPLICATION/PERMIT
SPOKANE COUNTY s BUILDING CODES DERANE. WASHINGTON 99260 / PAR91 TMENT
NORTH SI I JEFFERSON /
.676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER'S
. \ 'AGXNE
Lorr ecDnt' fSDEm`nnorrTT
z. l
3.
4.
OwNER
ZOF/.DT
T¢I��
F
ADDRESS
I5 ti?rX'.NF
CONTRACTOR
ADDvESS
DESIGNER
w
ADDRESS
!2N
ONE
0.-f...,-1-14., Peet
ar8 Hi
PHOFrf r of Parcel Rocks ISpol MI pM.nn Io
ZIP wo.n. o«vwo.v 0Vm000ea..SPrInh
eroP
PHONE wo MIsR
I.
.In Floor I Upper Floors
. Dlnnn.Storage
Area of Owes
Floished
ment
No. Bin.
CERTIFICATE
of
I. SWIM ..�mo. Ao lm M
ro. o, Dw.Bg.
o EXEMPTION N
(num. 01sT. IL"""'"
""..I FEES COLLECTED
❑
C I NOE OF USE FROM ITO
6. iNEw 0 ALT. 0 AWN. 0 RPL.
T. vO.oAR 0 .Lo. 0 PLM.. Ges4ec. 0 M.H.
OESCRIBEwo RR
8 Wcrr, .0 cv .Jt I�ppt� Rt WATER 1 SEWER owns.*. ECOOE
VALUATION I SOIL E ZAS I ELECTRIC PVOnc o...
OI
;
9 hereby certify that I have read and examined this application and have read the "NOTICE" provision! included
CM a eee se side and know the s o be true and correct All provisions of laws and ordinances governing
ing presume
is
type s0 work ill b plied with whether pacified herein or not The granting of a permit
to give authority to violate or cancel the provisions of any other state or local law r•pdating construction or the
performance of consOuctioln. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS /
DATE OF APPLICATION( 2 - R 2 SIGNATURE OF APPLICANTl--
SPECIAL APPROVALS i[
I SPECIAL CONDITIONS:
NAME
En.. H..lin
"
VE. 0 OTHER
❑ POOL
1,... E..mi".r
TEPA Cn.rhli.r
Single
Building
nummng
M.cN.
Plan Chock
5EPA
Moble Non.
Orho 15p.ci tt
BE
711. �' =e6.57
04• •2000
•2000 2
6063
01-22-82
? 6479
TOTALE2.4•2OI
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PER
iN
1
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSEW
SET BACKS
FINAL INSPECTION: 2 1f 1,
DATE REMARKS:/J
/y
At, eiec i — ie .rA ,s -r, A2.04lU A�.�.tprs-,, -