1982, 01-28 Permit: 82A-0665 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
•
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Bfl FFFFEnsoN / SPOKANE, WASHINGTON 99260 / MOW 4543E75
/06 ADDRESS
LuT
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
s. /610
ellIsK
GUS/TOW ROAD
owNER
�E
SHA7D
fILL
C6 o SS
CunrThu net)
rA TRACTORADORESS
DESIGNER
ADORESS
PHONE
12.4— AS Z3
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBERS
ZIP
94216
PHONE
ZIP
PNONE
CHANCE of USE FROM ITO
ZIP
0 N. OF
0 ALT. 0 000. 0 RFL. 0 AWE.
00.9 0 000. 0 9009. 0 MECH. 0 N.N. 0 POOL 0 OTHER
DESCRIBE WORT{
wo0C, T0 E. 1 GSAWP
VALUATIGN1�
UTILITIES �ELEpTR,G WATER I SEWER
hereby certify! that 1 have read and examined this application and have read the "NOTICE' provisions included
reverse
th
sideµ and know e same to be true and correct All provisions of laws and ordinances governing this
rpof
work ill be complied with whether specified herein or not. The granting of a permit does not presume
>
give authority to violate or cancel the provisions of any other state or local law r lacing construction or the
erformance of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIO
PATE OF APPLICATION 1!27!;1 SIGNATURE OF APPLICANT /I
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Actual ,•1re1B•c•s In �
Nevinwl
ISauth ell
Sian ,,. elawlH..l[A
Type Coag. oaaRP. r
Dv.. ON. O R.a•a.
valuatlen SuIWIng Area In SA Ft.
StO
Hain
A.M 01 0 a IBa»m.. �a�FMIM a .�.a DnnR. e ..meal
NA Baru. I No. s.or01 NA
lipping INCA Of 00.1,0,.
a
pal R.a'a.
Eaarn. ILa...1 a lA pet
CERTIFICATE
al EXEMPTION
10 o 0,00. 0 I USE CODE
ans EE.anvoia.
FEES COLLECTED
SrNH 9
BuiMilq
Nw.b os
Mem. /O
Plan Chock
SEPA
Mob,. Horne
1:111r tecityl �/On'OT.t5cw
TOTAL
BE
'2A- 0665-
04.
•x000
5-
•2000 W
6644
0.1-27-82
e 6470.
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.
).