1982, 09-22 Permit: 82A-5339 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NS E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
C..*e VZ‘‘Ze
cZ
APPLICATION/PERMIT
L------------. SPOKANE COUNTY—BUILDING CODES DEPARTMENT -7;1,1 5 A -(3332 i )6AkY
NORTH•I I JEFFERSON/SPOKANE,WASHINGTON PRNSO/MOP/ab6-36/6
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
a ADDRESS
2 ile--, F°N9 LEGAL DESCRIPTION—SEE ATTACHED
0 a• • C:-:C.
PARCEL NUMBER/5
•:,,.6 c.3
0 NER ., ,C.5.,
....
t.-., Math
1 ADDR SS Actual S.INNIKs.in f sal 5 3 O
2- P ' rat n .. n 'Wall 30
PHONE SI.ra of Par.! 'Zo'n•Classification
4. A.,.;;; :...CONTRAC. •
• R ft 7,
—
ZIP T y pe Con.. I Ofitlpen‘Y S.Orl.lerep
OVes 0No Rao,.
PHONE Valuation
DESiGNER Bullet,Arm in SR.ft,
.5' AOORESS ZIP NNIn Floor Uooat Floors Oar•ps Aram Storage
CHANGE Of USE FROM TO Ansa of Decks EMIR,.°mown. Unfit,Basement .14
No.Baths No.Star. No.ROOins INO.of DweillnEs
T.,PE E,NEw 0 ALT. 0,0.N. 0 RIal. 0 faVE.
0 OTHER
0 sLo. 0 roos. 6...... 0...I. 0 POOL CERTIFICATE Rov, Reem. Ivot Rea•el.
w0Att
OESet EXEMPTION ion tes.
CINSE W2ORK, „..46, num.DIA. LoutAirea,
' FEES COLLECTED
VALOATidu SOURCE GAS ELECTRIC WATER SEWER
9 o,,i'rs,ES Public 0 SYN.,.0
SNRIII S
i hereby C.o.ty Mat I have mad and examined this application and have mad the''NOTICE"provisions included
ad pavanes...ad,,.,the sarne to be true and coPect.All provisions of laws and ord. .es governing this
lade of pork RIP be conto,ed watt whether spec!pad herein or not.The granting of a•: i •Cres no
,.rime authonty to,omte 01 cancel e pry sitarts of any other state or local lawore• lin•constr ion p!.....dve ,.,
f FOertPsiOl•on SEE• VER SIDE FOR REQUIRED INSPECTION
3a T E 04 aPiLiCATION
y 7—
_SIGNATURE OF APPLICAN if. m.,, -2-0
SPECIAL APOPOVALS SPECIAL CONDITIONS:
NAME DATE a Pl.CINKIt
r...o.••'""'"/."/c
SEM
Mobile Norm
• Other ISpecityl
TOTAL
WHEN MACHINE VALIDATE°IN THIS SPACE.
THIS 1/1,111AFS•PFRMIT —____