1981, 12-21 Permit: 81B-2820 Inspect 0
APPLICATION/PERMIT
SPOKANE COUNTY—BUILDING CODES DEPARTMENT ',nANIIT�D�e- � ,
worm.all as PPE AEON/SMEARS.WASHINGTON•eaee/LORI e,a-5e.S I
a5 APPLICANT: COMPLETE NUMBERED SPACES-PRE
REs SS HARD TO MAKE 3 COPIES
t s 16209 - let LEGALDESCRIPTION- '
SEE ATTACHED 0'4• •1 7.00
2. An ER/c -
CHIMER
1 Aop,Es Andy Hultem P •= .. •11.00
•1 7.00.6
CONTRACTOR
-let SIP ActualIn A •000
•. A
Volley Pirepleee /no. •PHoNz « .nnm1«r 281.94
o00Ess 928-6293 �'' zen•c • 12-17-81
•
6. 18610 9•ra,ue Ave. ZIP oawwnn H swlna.,•e
DESIGNER
9cN037 OV•8 4 6479.
p`"
5. ,ppREu No, VI LL N•.626 0. ZIP sulo 6
r A
r« sI nCH,N0E orVSE FROM TOliiiiiiiinDn"".comme
n
NO.s�I. . m. No.eI ChwilIws
TVPE NEW ❑ALT. ❑AD wO RM.- ❑wyE•T_ or
❑OTHEnwoo., O PLO. ❑.CPPB. El MECH. ❑ME ❑Poet..
CERTIFICATE �W
Inc tall ^f EXEMPTION^•
Pt w e'
6 Es gen into Blase Prince F,.. •oe Millal®
...Jour TSriE<T•C ~ FEES COLLECTED
ouac
9. I I RI WATER SEWER w MO COOVALUATIONeVTILI ® ELECTRIC
I .. �Is OwH.I.PD
Rue
Ion reverse hereby certify that I have read and examined thus application and have read the'NOTICE.'provlsiono Included V
sib and know Nawsive S `\.!
type of work "11 be complied ma to be true and comet All provisions of laws f.ordinances governing this
with whether specified herein or noc The granting o/•permit doe,not presume guiMlrN
...--C
to giro authority to violate or cancel Me provisions of any other state or local law regulating construction or the 1/
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO5
DATE OF APPLICATION 510NATUgE OP APPLICANT4 .i'i_�•'/ M«h /,
SPECIAL APPROVALS SPECIAL CONDITIONS:
+..H.R.: E GATE Plan Check
NAM
•
SEPA
e•«m«r
Mobile Homo
uru Ire, Dm«15wcihl
TOTAL SJ
.•c•m • W H16eECOMESAVAPERMIT.LIDATED IN THIS SPACE,
T
«_-.....__._._ LL•s•-It r..,nA :110001
I
INSPECTION RECORD
)
OWNER LOCATION
CONTRACTOR TYPE OF WORK /
NSE W FINAL INSPECTION: /` 15. h 1'
SET BACKS
DATE REMARKS:
1 A:me, --_-,--7-/.4 / ‘-'irie,-/- z-*=0*.''- l--"---)--,7,-.•- ./' 1--4-4- // ,i,, ,-,-
• 1—.2c4' - C,2-U( „et P.fh, ,„&das a,E po(2�C0hi s I
it .