1983, 07-22 Permit: 82B-779 Inspect INSPECTION RECORD
ER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION: 7 v2 7: 6
SET BACKS
DATE REMARKS:
4}0d) �9,I7re / SP" It f
C‘4-- , - i lam„ °, � ti eP tocur
3F" 1
7P. . . .
•
rAN NUMBER
IAPPLICATION/PERMIT
SPOKANE COUNTY—BUILDING CODES DEPARTMENT
NORTH XII JEFFERSON/.0AANE.WASHiNGTON 99460/OOP)ASO-MITS
.I iii
APPLICANT: COMPLETE NUMBERED S:',...CES—PRESS HARD TO MAKE 3 COPIES
. • t. /OR AN:ACV
- lc% U)PT 1-1(4,, IF ''c O'" LEGAL DESCRIPTION—S..x.'"ATTACHED
PAR, ‘..1, ., PERMIT NUMBER
•
2 •
, •. 44.,./-- .0.J,_:el- Tsz fl.F.'
.00 2: ..,....SH IMMO m PPM 'j L•
.....". ,, w... •:''-T--.
CO RACTOR i PHONE4,..,-,,)Sue nI PHEM Zane CiamilluIlen
.4 ,L,.„— ..'s_.Zi-- _WT.,(7,1 • ..
Tybo Osl. Occupon.m.
.. •_,•-El 6 AP•
PHP,IE Vmualion
D ESiGNE A
• .
5. AODRESS ZIP *Min Flow UPow P,00m MVO,*Arm Storage .. „-
CHANGE OP USE PROM ITO Arm of 0.1“ 1 Vino..Elowmant 1 Unlin.eavImmt
0 ALT. 0 .... 0...— 0.V.. I rv..Stumm Nts Rooms
• 0 KO. 0 ALL.e. as.LIECH. D . 0 POOL CERTIFICATE R.'d I n." r .• .
of EXEMPTION i
DESCRIBE*OR EAR,DuI. LomMon IA,. ..• . '
a 4 nit 1), ,, jr„„, FEES COLLECTED
. ,
i ELECTRIC W•TER I SEWER ,,,„.,,,,,,, USE CODE • .,
. .
9 • UWE:TIES Aualc 0...me a
SmEN $
1 ,„,,,,,,,,,,,,,,u‘,.,,.,,,v.,,..d and..,,ined this application and have read the-NOTICE'.provisions included . .
on reverse Ude.and know the urn*to be true and correct.All provisions of laves and ordinance.governing this , ,,, • .
Noe id*oils will be cowshed with whether specified herein or not.The gr ting of a Permit does not presume
•
to give authority to violate or cancel IN PIOdiSIGIN al Any other state or I law mauls'ng Construction or rho
gusto,.nooe of commotion.SEE REVERSE SIDE FOP REQUIRED INSPE ONS Plumbing
DATE OF APPLICATION -WI/S 4- SIGNATURE OF APPLI Sf?,,A-.afigr
sw
SPECIAL AINPOY•LS SPECIAL CONDOTIOAS:
NAME DATE Pi.Chg.
En..H.,.
EV,
47
Mob.l.Homo
Other L,Sp..1./1
L,,,,,,,,,,
TOTA
' WHEN MACHINE VALIDATED IN THIS SPACE.
1
•
.•
..-