1982, 03-26 Permit: 82A-419 Inspect!!x INSPFX.'Z'ICN RDCOPD
ADD45S
DATE Pjavv Ks ;
— APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTR eI I +EPEE RSON ..1.NaNE. wasRlNc.oN.—I r 'A-' ......s
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
oR AooaEss S. 2817 DAVIS ROAD LEGAL DESCRIPTION — SEE ATTACHED
t'RCEL ND
1. owNER JAN BRANDVOID P924-9624
1 .00acs S. 2817 Davis IKIad 99216 er • ^, cuam�ue.
cor+ERACTB� WATER SERVICE CO P455E8050
<. AooAEss lh.P. ce..1 PwawF •1^ •••e
E. 25 ixd 9O_202 ❑ONe D R.A.P.
5. ........ +•a.•A.. sle.ae•
TIFC ONw DAT. 0..'.. OA OMVE. Oo
7. w R O eLO. EKMe. D MECN. ❑ N.r•. ❑ POoI TF1E CERTIFICATE eae wa. Rw
PI EXEMPTION
oESCaIRE wORa E.—Ola. aeon IA• FEESCoLLECIFO
s. SOFT WATER
g. vALVATI IES ows ELECTRIC ..TE sI:wER 1c ❑P,rv•1. D sE coo IF
S�np1e S
1 nrrehv certily [hal I nave -d and ...mined thisapplicati and have read the 'NOTICE provisions inclVdetl
side .Id know lh, sa o bue an
e trd c ect.oAll provisions of laws and ordinances 901—mg this euim�ns
noreo� work wall Ix C plied win whether ,peciliea herein or not. The granting of a permit ace: not presume
o give aumori tv t iolate or cancel me provisions of any other state or local law regulating construction or thr 5.00
perf.r _ of construction. SEE REVERSE SIDE FOR REOUtRED INSPECTIONS Iv'"n s
DATE OF APPLICATION _1 $ 2— SIGNATURE OF APPLICANT «n.
SPECIAL APPROVALS SPECIAL CONDITIONS: / PI.. Check
SEPA
•' a� Orne• ISPwifvl
TOTAL $ 5.00
+• E.e...e. WHEN MACHINE VAIIDATEO IN THIS SPACE.