1984, 05-16 Permit: 82A-9142 Inspectr.r.NumAEA
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTN Ell IEPPEASON f SPOKANE. WASFDNOTON wa.o f m.1.6 -3e tE
APPLICANT COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
I NR
OTH 502. EYnE)Qk H
LOT BLOCK , e ,v SION
x.
E R 17)CCUJJ.-OUGN
s.3n PENES RD.
hpE.4fFT t NSFER INC.
E. I gab moniremE -y
9 -0833
LEGAL DESCRIPTION — SEE ATTACHED
ARU. NtwBEArs
'49a.0(D
gab- I563
Actual Sat Bac. in PAN
Skta of Parc.
0 Jurast
'419,146
Valuation
Over ON, O.w•a.
•114, AreaInS6PE
6.
•DOPE.
si nmr I usew FI
6
1TD
TYPE CNEIN ❑ALT. 0AD•.. 0.... CMyr DDT
T. WORN ❑.Lo. 0ALM.. XMECN. 01L.o O.DoL
.I.n.a e•NnNnr 1 Unna. WOW,.
N6 •EIA• I AP. atMN• NO. ROOM.
S. INw CC ". Mas eLici 6 • • s.wEn
g. 1.vALVATION60 CO S
.CO I .. ST I E
OrmatalAta
haraoy certify that l have reed and examined this applic.0on and have read the 'NOTICE" provisions included
on verse Ude, and know the same to be true end correct. ov
All provisions of laws end ordinances g.rning this
rypeeof work will 6. complied with whether specified herein or noL The granting of a p•rmil does not presume
ro give .0 hoM' 0 w vidat• or cancel the provisions of arty Other Mute or local law regulating construction or the
perlormantt of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
n a� .0r
et EXEMPTION
En.m out. Location tArMl
Am a. at R.a,
a.H Drew.I. 0
VSE COO
DATE OF APPLICATION :/C/u SIGNATURE OF APPLICANT
SP AL APPROVA 6FECIAL CON04010TNE:
NA p
�••u AME DATE M cco EJ I .1.
erot sr
FEES COLLECTED
TOTAL E 18. co
r;;::.1-'214,27-1 pi)
04• •IE00
•IEOOtl
p •OCC
9101?
1C-06-02
s 6470
7
WHEN MACNINE VALIDATED IN THIS SPAC
THIS BECOMES A PERMIT.
lir -
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: 3 'la"- - SS'D
DATE
REMARKS:
/Ill V e p;9-N,a, ,