1982, 01-22 Permit: 82A-364 Inspect INSPECTION RECORD
11111
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
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SPOKANE COUNTY—BUILDING CODES DEPARTMENT Q'2�
NORTH•t IJn
JOB ADDRESS
JEFFERSON t SPo6ANe.wASNINOTON a00.MORI.5•.367$
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES
DFr 0 T/su/ys(--4- IPANCEL
I CLEGAL DESCRIPTION-SEE ATTACHED +
T I R Al ' NUMBER'S 04. •1 9.CO00
Ld y ActualS.16 sInFew •19.00v
E°�:ixq ii DP Actual
Is.t•
to. p •ec_ .
`Eg y�TTO4s/f `/ Woof Parcel ';'o'ne CIRC$ .Nan
7 /y/I/, /—E 9v t-d/auADDRESS 363.'
E/d 7,,, i-v1P. a 90 E/L Typo penes I «wP,er. On., OCR CIe .mq C16470
.H v.m,non min. ...m .Ft. .. 6470
ADDRESS
II
CHANES of USE FROM O ZIP mem Floor Moe.r Floe Cara.. I Stora.
nt
! APE ❑NEW ❑ALT 0 AD N. 0 R 0 moo. Area S.tn.p „No.Storie.a•.EC Ree, INe or D_.•N...
WORE 0 DLO. 0 PLIAS. 0 MECH. 0 M.N. 0 POOL OTHER No.
CERTIFICATE N 1 R.aa I'Reed. rot R.ae.
of EXEMPTION L R
I.1
n I .anoIAr•
1 FEES COLLECFO.-5}II1 P/ ` AI � /fA /
VALUATION NurC s E R< wER SEWER P. mIe USE CODE
. IMEs ~p..❑wN••O
hereby certify that I have read and examined this application and have read the"NOTICE" sine. S
n reverse side,and know the santea correct. Provisions included
to be true and c t.All provisions of laws and ordinances governing this Svil , •
toe of work will be complied with.whether specified herein or not.The granting of a permit does not presume
a give authority to violate or cancel the provisions of any other state or local law regulating Construction or the
.Ironmane of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
RATE OF APPLICATION /-/0- i.). SIGNATURE OF APPLICANT . .aa M//ReRe�h, U✓tI
SPECIAL APPROVALS SPECIAL CONDITIONS: Vyc E$ 9.✓(.'
NAME DATE PIanLMCY
.."DI" s .s.•., 7/.....F. a
/ y
N+.Fla 9 a. ..9/.P<,L, SEPA
/ Mobile Home
Other ISP.eilvl
[ '
1 m. umm.r TOTAL $ /y d(/
•MIEN.MACHINE VALIDATED IN THIS SPACE.
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