1982, 07-08 Permit: 82A-413 Inspect PLAN NUMBER APPLICATION/PERMIT PERM..NUMBER
SPOKANE COUNTY—BUILDING CODES DEPARTMENT
E�"�
NORTH•11 JEFFERSON/SPOKANE,WASHINGTON 99260/IBM ASABETS
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
,09 ADORES• 6113 17th AVENUE
SS
LEGAL DESCRIPTION—SEE ATTACHED F.C L
SIO"
LDT1 .Lp<H SUBDIVISION PAREELNDMgERz Vii..
owNER R70-IAItD S.21E00574-0170HONE
C ,f
3.
aooREss Actual Sat earki.In E. 6113 17th 99206 ls.am•' l,H Iro,d
CONTRACTORSM..P•714. c.,mr.
Ione Lr
1—1£—S 2 f,47C
a. ADDRESS
WATER SERVICE CO 455-8050 'FA. n
con. orr.oanr .�
s E. 25 lhinl 99202 D.., DN. D Roo,.
DESIGNER PHONE VHwnon BOW..R,•a in So.Ft.
5. ADDRESS ZIP .A.PIP.' (N°.•.F. .....A,. I St.aa. _
6 CHANGE OF usE FRou Ito Ar•,a o.r•, I Fr"r,nw...nem I unNn.e,r.rn•nI
D NEw DAT. 0 AWN. D R D N Sc.gain, I N.slwr•, nee,.
Room. I a.. Dw•I 9,
1 wpRH 0 m.o. EI.Lae. D MSc., D M.H. D POOL D°THEA CERTIFICATE law.a.
of EXEMPTION
R
vDESCRIBE
Atuge OwoRR GAS EL[cTRlc WATER $EWEp nnaco. ht, Drano"IA''') FEES COLLECTED '
R, 5�''T WATER
,'teo w...0 nn..t•D USE cooE SinAlt S �`
I hereby cattily that t have read and eaamined this application and have read the"NOTICE"provisions included `
on e reverse side,and know the same to be true and correct.All provisions of laws and ordinances governing this g,,g,,,,,,,,g,,,,,,,,,,r '.
type of work will be complied with whether specified herein or not.The granting of a Permit does not presume
to gree authority to violate or cancel the provisions of any other state of local taw regulating construction or the 5.00
Performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plwn ^9
DATE OF APPLICATION 1/18482 SIGNATURE OF APPLICANT Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Poen Chark
".-HN"" SFPA
Motaite Home
•
e.L v..•. OtnN ISRacitvl
TOTAL S 5.00
�."•E.•"r.n•r WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.
ADDOSS
RECORD