1982, 01-15 Permit: 82A-198 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS: /J, /
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,i,.....--, APPLICATION/PERMIT ^,�
SPOKANE COUNTY—BUILDING CODES DEPARTMENT //L .
NORTH ell JEFFERSON/SPOKANE.WASHINGTON 99260/16091 PASSIM »
>o APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES •
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t LOrA 1-o[o�1 lueolvRTONH I LEGAL DESCRIPTION-SEE ATTACHED •2500 _
2 PARCEL NUMBER'S •2C 0f; .
OWNER •20005
PHONE
'1 3. do nit o n7T A': -1413 A •G r',.f. •
— off LLq LA. ICC, " n14.u�G ..,P.I .I Bacot lsemh.M �w. -
PHONE sN.o.P.,..I n.Cl.sdllr.Ilenll 0I-11-82
°' ADDRESS as
PHONE v I o 61170
gAM n ZIP Too.con. a„P.n< s ... ..
D e. ONO xENINNS AMA In s0 A Er1
6. CHANGE5. SUSE
ZIP 'MA..Fel Docks POer�Hn.9 e.,,m,..•A Ulnen e...m.nl 4
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FROM
D.r. 0R
No.Bolts �.00. �m
T, ooE �(W. .DM ❑DTHER N ` aa.Rooms "No.P,Dwellings
won, 0 0 ALM.. 0 MECH. 0 M.H.' .0 POOLIJ .a 6 f
ICERTIFICATE . ` Roc,. rot R.a a
DESCRIBE WORM P EXEMPTION
�AL no CLA rvcE En„•n. .I. 'Location IA,.n
F LR.0 II WATER
`o
FEES COLLECTED
8. °Ebf 6 II ISEWER E CODE
UTII711 hereby certify that I have read and examined this application and have read the"NOTICE"provisions I ns included SirNH S
^ sideork,and kbe now the same to be true and correct.All provisions of laws and ordinances governing this
plied with whether specified herein or not.The granting of a permit does not presume
Evil-ding
` topgvee f authority to to violate or cancel the previsions of any other state or local law regulating eonstruo . or th- -
Mrlormance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION/ '
�y� ,,,,,,JJJJ Plumbing •
DATE OF APPLICATION'Y 1-1�"U L SIGNATURE OF APPLICANT"T' /. .4 ' Mash X).CO
E^' SPECIAL APPROVALS E SPECIAL CONDITIONS: i ! '
E DAT Plan Chock
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" 0 1 SEPA
Mobilo Nome
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Other lSP.cily)
�+f....n.. TOTAL
a Cn.r.i..I WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.
4