1982, 09-01 Permit: 82A-5140 Inspect 7
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
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J APPLICATION/PERMIT ,��// 87 n�ti.f
�....NDNaER SPOKANE COUNTY—BUILDING CODES DEPARTMENT /7�
WORTHS.JEFFERSON 7 SPOKANE,w.SNINGTON 00x0 7 ISM alSs307a 1
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES #10518
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�south 4a 1�ut Road `, L LEGAL DESCRIPTION-SEE ATTACHED G4• •1 4.00
L'771-573r""5.'"'"'
orT_RCwnV JScfR � PARCn •A •4. 0
a 1 I. •n 0
7 OwNER Vern Olmstead 924-1677
51 SC#
AnW.I SAI fa. w —
ADDRESS0
6-<1-
82South 1740 Walnut Road ▪99206 North
CON•RACTOR ANONC „ Ifnvm 'WWIE479
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e .o5PI„a FATINCIC
E204 Indiana
DESIGNER
S ADDRESS
G. CHANGE NV�C0-4505
7
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Area of De<Sts Finis.. ent
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• p OTHER se•a e. Ra.o l .7 D OLD. 0 eves. p NEN0 Kw. 0 PDOL CERTIFICATE IN
woven
of EXEMPTION
DESCRIVE WORM four..DIN. (Leur,an IA'..I FEFF COLLECTED
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a ;natatl h t�ump0 Satem.LUATION ELECTRIC WATER SEWER w,wrmlo I USE CODE
�I w Ow aI.O S,rgN S
, ,eby Certify thatexamined
1 nave read end this application and have read Inc"NOTICE”provisions included
in reverse ne vele and know the sae to be true and correct.All provisions of laws and ordinances governing this
Pow of work wall be complied witp
h whether specified herein or not.The granting of a permit does not presume aulldirr
a gwe auth0r,ty to violate or Cancel the provisions of any other state or local law regulating construction or me
nertormance of construction.SEE REVERSE SIOE FOR REQUIRED INSPECTIONS Rookry
i`�- y� 4.50
_snc OF Anc c•noN 6-16-82 SIGNATURE OF APPLICANT✓�'F+���{.�D'0t/ ny,n., 10.00
SPECIAL APPROVALS SPECIAL CONDITIONS:
NATE DwiE / PNn Cnct
.n.•.evr. ....� /
SEPA
...�..,a • WobiN Nan. .
Other ISpocifyl
r, ,.., 14.00
TOTAL S