HomeMy WebLinkAbout1983, 03-17 Permit: 82B-1459 Inspectre. Nomean
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH alt IEFPEASON / SPOKANE, wAINONOTON a.aeg / laoel •61,30/S
APPLICANT COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
ARCL
oroa
O• OnoPa0P
GNER
ANON
OP
oo, I uoow Ft..% GoNo. Arm
MI Bowmen.
0 NEW 0 ALT. 0f AOw. 0 AP.- D AVE. 0
e.:0„.0 m.o. DLM
.e. XNECM 0 M.N. 0 POOL
CERTIFICATE
FICATE
of EXEMPTION
ATEA
Ems/
vvSEWER
Poon. OP.NVI. O
LSE COOE
I web,. t 1 have fa and ea thN application and have read the "NOTICE" provisions included
yse side. and know the same to be true and correct All provisions of laws and ordinances governing this ,�c r..ak ..4t 0. eomplted with whether soecilied Mfein or not ThePre...g of a permit does not prem.
m wd.
gee entt to violate OF cann al Vel provisions of any other state or I a law regulatitd construelion or the
performa.w`e of contruct.on. SEE REVERSE SIDE FOR REQUIRED INSPE IONS
IMPLICATION if/ SIGNATURE OE AP?L
DATE
Thee. E.• ....
SPECIAL CONDITIONS:
— .."4 - Jo$•
FEES COLL E[TED
Smela S
Budding
Plumbing
Plan C0.cv
SEPA
INANIP Homo
O.l.w Orgamlrl
TOTAL Q3LL
PERIEa
Pz-5
149-
06• •2000
•240CC
A •nOr
1/i SE3
I'I-3C-52
.. 61 7
w•.EN MACHINE V ALIDATE° IN THIS APACE.
OWNER
INSPECTION RECORD
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
r7
REMARKS:
,mow t-tog/277- � , /2-6.6
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