1982, 10-29 Permit: 82A-8348 Inspectnumecn
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
MORTM ell JEFFERSON / MOSAME, wA•NINOTON WOO / Ie001.64M1e
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
w• OGRESS
2. j 4bctt L 1 IG 66TfKer,
1 �oF7nl� . Ftc61'
ApfS 00 228 -]Diss P�✓�L�
F79 -8746
09-7
ONE
LEGAL DESCRIPTION - SEE ATTACHED
LNUM• Of'452- -p109
WORM Sat •••v M RIM
Narthfart erOmml
1
621..t.
'7111n --"
ZIP
Tr ,p. Ir"
SWIAOM.M
OvM ONe CIAee e.
5.
pciIOM.R
Polisatlea
600
mNee ArwN ea. F1.
ADORE
Main I/
r0a1y 1 ,herar
fL
CMANaEpFUSE PROM
To
las .r o.•N I
Tan tr...
OIaRM dl.
O ALT. O A001. 0 RFL_ 0 NNE.
D RUM•. 0 MEM 0 N.N. 0 FOOL
0 crag.
Solna
Remns
. a w•uN.•
Esca,aaw.• •�V_•TN�Y���•��1rv-
E v*LW1T
g jouacc ab [Lt0TA1C ww1EA /�uw�EA q•ryrxM
L TrEf _ rL1 11(J w1N O FMMe
n.r.oy certify that I have reed end examined b4 ep/tieahon and have read the "NOTICE" provisions included
averse ad d.. e Imo. M ON es to be true end comet All provioons of laws and ordinances governing M&
ryp. of wok raid be complied with whether specified herein or not Th. it granting o/ a permdon not presume
b give wdwrily b rial.1 o Cancel the provisions of any other sum or local law re9Jlnii. construction or the
ow/orm•neo of caroducton. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
OAIEOF APPLICATION 1I-� OGNATURE OF APPLICANT
CEA TIFICATI
M EXEMPTION
em. 011. 1L,rt
imrml
USE CO
E.FCIAL APPROVALS
e•A•aE DATE
IC cg g• *Tir s.
c••S.elyr piCat I•.%
SPECIAL CONDITIONS:
A••.. jr.„..d.
FEES COLLECTED
&Mk
Sv1MMe
.4m Cadet
SEPA
Nome Nan.
Other ISpirohl
TOTAL 5 1
$2A -A34$
•5600
• 00 5,
'.005
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
TYPE OF WORK
N S E. W FINAL INSPECTION:
SET BACKS
REMARKS:, .
�� ��a j