1982, 02-16 Permit: 82A-874 InspectINSPECTION RECORD
ADDREV
DATE REMARKS
I^LaN NUM*EO
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH EIIJEPPERSON / 0101ANE, WASHINGTON 00360 / 16001 456.36)6
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB
1300E71,
2 LI I .11-LOC
'ADr 19
DESIGNER
Aoo REss
LEGAL DESCRIPTION — SEE ATTACHED
3vemtvisroN
rel Gl• 6/
c
NIC t.. .
PHONE
PAac(L NUM5Ears
1?,,43�eglI
.beesual Sate j7Lls rl*ka
NorthI6PF i
Iw.
Slav of Pareel T V, n
TIP
PHONE
70117777.
Do. ONo kl0 Roo,.
Solidi, Arm In So. it.
TIP
Mato 51nor 1 ares ark 161n.ae.
CHANGE OFUSE Paom ATO
0 NEN eaaLT, p AWN. 0 RPL.
T. OF
OaH WILE,. D .LMT. D MECH. D M.H.
Arm of Conk. I Flols0.4 Oo.an. I anti.. amomont
MN(. 0 OTHER
D POOL
No. Bain,
No. Stooges l No.
CERTIFICATE
of EXEMPTION
�a INVOrdr
5_ DE6���
9. 4^ SOQRCE
-L' UT lerTIt6
BAS
ELECT WATER
(num. DM. I Lounon /4rml
SEWER
Pvanc ONNale /USE CODE
1 hereby certify that I have read and examined this application and have read the 'NOTICE" provisions included
nreverse side, and know the same to be true and correct. All provisions of law and ordinances governing this
type of work w II be complied with whether specified herein or not. The grantin of a permit does not presume
t0 give authority to violate or cancel the provisions of any other state or local law regulating con . don or the
Performance Of construction. SEE REVERSE SIDE FOR REOUIRED INSPE TION
DATE OF APPLICATION r_ e O /9L. SIGNATURE OF APPLtCANj�,
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
I,IAVL' B(1rkler,p1 li':JSL. x"1ti1"A G
r/g5 P. no• ,nlu IK.
FEES COLLECTED
S' 01 t
euiMm6 -20
Hwnbin6
Much.
Plan Check
SEPA
Mobilo Home
Ocher /Specify)
TOTAL S �n
02• •2000
•2C07
873A
02—C8-82
6079
WHEN MACHINE VALIDATED IN THIS SPACE.
THISBECOMFSA PFRMIT