1983, 10-19 Permit: 83B-191 InspectAPPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
,oa*� 1111 2EFyERsoN r SPOKANE ASRINOTON 119260 r 16091 ace cele
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1 u A4 Conklin
LEGAL DESCRIPTION - SEE ATTACHED
PAacaL NUM•Eaz
OwNEe
Tim A. Myhre
PHONE
926-1168
ADDRESS
P
' 216
Attu.. SN . FAN lay.
•<kAluth
Sam
CONTRACTOR Same
Vater Service Co.
1.55-8050
o
s Pa/oral n. CNNItimtlon
Soft
` ADDRESS
25 Third Ave.
9
r Pn oM.wn< •,•e
awe
win. O...a+ 0. at.
DESToNLA
09202 NE
Valuation
• ADDAESS
2,.
M.I. "P. FM.. . .r.. A. I SOP API
C,TA,GE OF USE F., LTD
Arm of P'I Fi.IR.. Veen •.t 1 Dnlln. Rahm•n%
E. yP 0 akD. 0 ...v.. 0 MEC.. 0 .,..k 0 root. ❑ oTRER
wOxn
N> Stale•
I ao. .rDwq a•a.
IERTIFICATE. RAF,. I
EXEMPTION
!. WatDALveliO Sof
Enuiw DUI. Loulan IA,41
FEES COLLECTED
EirNN $
SOURer
v CE _
TIES GAS ELECT IOC w.TER kEWER
E CODE
Public ORI..1. Ol
y, uTtu
erhly Zhao l have read and examined this application and have read the 'NOTICE" provisions included
on I Purr./reverse side, and know the same to be true and correct. All provisions of laws and ordinances yovernin9 Nit
types of r wotk will he Comdwd with whether specified herein Or not The 9rantin of a permit does not Presume
o $o1 authority to violate Or Cancel Ne prw*Nons of any other state or local law regulating construction or the
of construction. SEE REVERSE S1DE FOR REQUIRED INSPECTIONS
au1Ki.N
caLa
�-
Iliw+warq
Mech.
p•rto,man01
9/29/83 SIGNATURE OF APPLICANT Soft Water Service Co.
Plan Click
DATE OF APPLICATION
SPEC VALS
NAME DATE
SPECIAL CONDITIONS:
SEPA
CZ."„ ^
M.P.Oa
6m,n•
a
.....+^.'
Other 131.01101
• E a •.�
TOTAL E ��
Ann l•+
PEX154IghtE: t,
03• •500
•5006 -
A •000 E
1902
10-10-R3
2 6G7C
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSEW
SET BACKS
TYPE OF WORK
FINAL INSPECTION: /a`'�
DATE
l4- fq-cs3
REMARKS:
OS, 6 q/h,'r4/24 Ac U"s//)!_/ ()
eked /ZD t espi, 5e /2s (d�C/ )