1982, 08-24 Permit: 82A-7419 Conversion BurnerAPPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON/ SPOKANE, WASHINGTON 99360 / (609) 456-36]5
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Joe ADDRESS,I
Ie v C C'. LEGAL DESCRIPTION —SEE ATTACHED
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❑ NEW ❑ qLT. ❑ AWN. ❑ L ❑ MVE.
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WORK 0 BLD. ❑ PLMB. �MECH. ❑ M.H. ❑POOL ' CERV IFICA^6 Rep'd. Recd. Noi Rep'0.
E!
FEESCOLLECTED
9. UTILITIESPi'huc ❑wmaie ❑
Single $
hereby certify that have re 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 Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INS TIONS Plumbing (��
DATE OF APPLICATION SIGNATUREOF APPLICAN Mai J v' _
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Cheek
e.��. Heaph oZ� IJ/ (1
Pianniny `r' SEPA
5' YZ Qil �I
Fire Marshall l/a� rt ,, 1��,, •' R Mobile Home
co. Enymccr 100 '0 O1) — 11'VD tel/ !VV P)_AgE A,!1') Other (SpecifYl
wuires 1�J( p
TOTAL S Imo,
vian: E.em�ne,
WHEN MACHINE VALIDAT
SEPA _11-11 11 THIS BECOMES A PERMIT.
Bu re PERMIT IS NONTRANSFERABLE 0 8'J` 4 —8 2.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT NUMBER
l� -rA. - 74- I
7419= *11000
PERMIT NO. TOTAL