1982, 02-23 Permit: 81B-2450 Inspect INSPECTION RECORD
ADDSS
DATE REMARKS) / r
•arc ,67-70 .
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gu,seen APPLICATION/PERMIT PERMIT NUMBER
so3 -;4-5-co
SPOKANE COUNTY—BUILDING CODES DEPARTMENT
NORTH 011 JEFFERSON/SPOKANE.WASHINGTON 95000/m91456,605
J,
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
ix's ADDRESS
Aa)LE.theik,) LEGAL DESCRIPTION—SEE ATTACHED •
•
LOT BLOCK SUBDIVINON PARCEL NUMBER'S
r3i,..0A(DIVIELJZ ArE5
PRONE.
00'11-_LiLg.,_ •
3.
AOORESS
2,42.,„ .„ -h0.0 —CONTRACTOR Zone,CRSVIC/11.0n .—L — 1
Pc_rJcz: (oI Tat..4(..-c,c) V..s
SI/•of Nice! .L
6c:7'
ADDRESS Ty,Conti. Ottuoancy Sprinkler.
I R.5 Oyes ONO 0 .o,
DESIGNER PHONE Build,Area In So.Ft.
5' ADDRESS ZIP Maln Floor I Loop.,FloOrf .aaaa Arm I Storage
CHANCE Or uSE.r ROM Aim al Deo. BaFarnent Onlin.Basement
6.
noes 0 0 ALT. 0 ON. PL. PAVE..
No.Balsa No.Stories No.Rooms or 00.0)09,itingi
NEW fiE/R0
OS 6/eLO. 0 PLMEI. 0 co. 0 M.H 0 POOL 00055 CERTIFICATE Reg'o. Rat, IN/7
of EXEMPTION
DESCRIBE wORK
Fres COLLECTED
8. REPalcL rite T.vann..e,E
ELECTRIC WATSe SEWER 4/ONSC000
Single $
I hereby certify that I have read and examined this application and have read the"NOTICE"provisions included
on reverse side.and know the same to be true and correct.All provisions of laws and ordinances governing this ow„,,,n.
Noe of work will be complied with whether specified herein or not.The granting of a permit does not presume
to give authistity to violate or cancel the provisions of any other state or local law regulating construction or the
perfoimance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
D.ATE OF APPLICATION SIGNATURE OF APPLICANTI, -71— Meth.
SPECIAL APPROVALS SPECIAL CONDITIONS:
AaL Plan Check
NAME DATE
SEPA a
Mobile Nome
Other ISpetifyl
TOTAL $ S•co
WHEN MACHINE VALIDATED IN TNIS SPACE.
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