1982, 07-13 Permit: 82A-5857 InspectN1SPECTIGN RDCORD
DATA REMAFKS r
;��
1
APPLICATION/PERMIT
L/ SPOKANE COUNTY —BUILDINGGCODES DEPARTMENT
MOwTN aft JEFrtgON / vOKANE,wwtNINOTON MiW / t[[al ae[iaM
APPLI
OMPLETE NUM6ERED SPACES — PRESS HARD TO MAKE 3 COPIES
n[x
LEGAL DESCRIPTION—SEE ATTACHED
�. R 086�-
z.
ow
E �LIX% B c5 4-oo`
3.
U
t0 n �
o«rn c OJ:
D«t [2 SWC : w•a��N«.
woowEss
Tr « pv« O El w•a
D[src«[w
o«[ tww nw «se. e
7Z0
5' woontss
w _ Y
GCl
c«A«ct or ux vwo4
«
W. p ALT.
p AD -1. p n p 4v[. «. R.In. «e. st« e, we«. «s. M a•er...
7. O R tl KD. ❑ h4[.
w
p
c) 4tc«. ❑ 4.«. ❑ ppL OrNtw CERTIfIGTE p t «•
M ExEMITIDN
D �
8 <, [
[nenL DML Nn IN«I
Z�, O L
fE[SCOLIFGT[D
vAIOA I ap/wt[ Ons
L[crwl Ar w xvKR VE[ COO[
-we. s
I MtehY "ft,tY that I hurt read
and tv«nintd In, .plication and have —d D« -NOTICE" provision lm,sed
on t side, andnow kthe tams to G tme and epttct. All Vroen jsioof I;«e or
and dinates Fwomin, this
Pe_ee
lyoe ofwork will b tampl4d wiM —etnv N«Cilmd h—i not The Wa jlq of E permit does trot .Mem[
to Eivr wtNwily M violate o
me the pro•ision of ,,v otMr stay w kcal law rtprletirq canenution a tl+t
p«fpmanct of con,lmetion. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
NwnWrw
DATE Os A PLIGTION
EIGNATURE OF AHLICwNT
SPECIAL wM110VALII
ECTAL CON DITels"!
Art
—0-s
-• ••'^•
/ �` % ^�.•�
sank. Nsrna
_ — _
Ot— IER«lMl
A7
.D'r00
•uS GO:.
•roc .
r�T-ca-ez
6471