1982, 01-20 Permit: 82A-129 InspectAPPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
.NORTH Ell JEFFERSON / SPOKANE. WASHINGTON 99360 / 1.091 499.3979
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
• JOB ADDRESS ??
BLOCK Ntn
WIW , FUN
LEGAL DESCRIPTION — SEE ATTACHED
7. ADORES,f` �.
E. /J.T/i
a. !1D/iN
CONTRACTOR
it //le Tt.�f
aiJ� F ,w. -.r
DESIGNER
C• ADDRESS
CHANGE OF ,,,E FA,.
PHONE
Ysx /3 S9
ZIO
S9./C
E
P HONE
YPPi
PARCEL NUMBERS
Actual Sol OWN In Feel
Size 01 Parcel 1579th .an.0l99RlIca�lo.
ZIP
Ov.s onto `l0 9.e'd.
. NONE
0,10.tl.n BulIaIns Area In Se. F1.
!7D
Mal' Flo.. 1°o.. Flee, D.r.eaA...
Area el Oeak,
Pinhead 9.11,..11
O NEW O ALT. ❑ AD'N.
003. 0 ears O PLM. ❑ MECH.
DESCRIBE WORK
9. UTI ITI
❑ R.L.
o M.H.
o MNE. 0 OTHER
❑ POOL
No. CERTIFIIATE No.
mom.j .d aPoems [No. e1 Dwellings
el EXEMPTION IJI
ELECTRIC
wATER
SEwER
(nem. COO. !Location IA. eel
Ow aaaaa le
90011. O nn.l. O
USE COOS
I hereby c rbly hall have read and examined this application and have read the 'NOTICE" provisions included
on r aside. and know the sense o be l true and correct. All provisions of law and ordinances governing lhit
reverse complied with whether specified herein or not. The grantin of a permit does not presume
of work well o
y 9me a mole. 07 ean001 the p7030ions of any other stale or local law regulating construction or the
tperformance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION / .` — r� SIGNATURE OF APPLICANT
4. ' �... FN - / a,7, •
J
SPECIAL A0NE E.ROVALS SPECIAL CONDITIONS:
FEES COLLECTED
s.I
1301101m
NVmbin9
MWn. /e.'
Plan Check
5000
Mobile Nom.
Other ISpeellvl
TOTAL f /14 Up
WHEN MACHINE VALIDATED IN TRIS SPACE,
I
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE
/ 3c�
REMARKS: