1983, 01-25 Permit: 82B-1680 Inspect -� •A a .1._
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE R • S:
rh7.NNUMBER APPLICATION/PERMIT
I SPOKANE COUNTY—BUILDING CODES DEPARTMENT U PER
MIT g a 1(0'120
�0 t
NORTH WTI JEFFERSON f SPDX,E, •SHIN°TON REEahr MOOT 16.0-36/6
APPLICANT:
11/��/l�
I
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
A I. bnw5Eio6 ou—Ct4L LEGAL DESCRIPTION-SEE ATTACHED
Lox e[oars-3Dsorvls PARCEL HUMBER/5
7. s
3. Otn-�?.11_ ilili. a6-Go7G ZJA Actual Sal A
ROOP`.1 (.oEl-bLZ. 'L°°in F..I be
_A% .�.�..� /f akal e D sue or Pares, 411°a hl...d.aal.,
e. A''''EL 7i o 1L ''I 4a/6 ONE E. •
T°.a^e,.r n...P...
ocs
s w°°aFEg FI.
: E :EnE:T: ;'
° , .......0
o.h.O.N ane,
g' ''AUR ❑PLO. O. e. UNEP... ❑v... ❑whoa CERTIFICATE L.. CERTIFICATE •a e. R..° �.°,R.n°.
• E��``E,�]wwOD � d EXEMPTION
6. v,LUwtldr. E WATER rni vsF°cloOFl FEES COLLECIfO
�37E c. SEWER own.,,,,,,,,
9_. b, certify at t el read and examined Mn atplicalton and have read Me'NOTICE"Pro isions D included
Singh S
m rm.,. :aMat
and k Murns to Detrue and correct.ATI provisions
sions of laws and ordinances governing this ....
p91 wrk owill be comWled w h eMther Ipecitled herein or not The granting of a permit does not presume 5ry
ugwe....,V to Siolar,or morcer the proeisions of any other state or local law regulating comtruction or the
In'lormantt of eOnITruCtion.SEE REVERSE SIDE FOR REOUIRED INSPECTIONS Plumbing
OATS OF APPLICATION_ .SIGNATURE OF APPLICANTgie>✓J41`�LE 44. Mach. Ai.TO/Y `
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME °ATE Plan Check
SEPA •
Fa. a
s.
Mobile....
lit
Other IScecifyl
rnn.�ne TOTAL ,( a
WREN MACHINE VALIDATED IN THIS SPACE.
RFA lneaawTHIS RM
FEAPF IT
nl_E 161.0 .1400°.