1982, 01-08 Permit: 82a-0061 InspectIi1SPECTION RECORD
ADDI(ESS
DATE
REMARKS
7'
'A/ 7L &c.-• 5 f AT, r) f y i
SPOKANE COUNTY`— BUILDING CODES DEPARTMENT
NORTH alt JEFFERSON , SPOKANE, WASHINGTON eeaap , tSpPl4663671
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
�qr IB' e.) 7
1 fN 1 O 1t� f
JOS A
I 1.R JMj S
2 ADb17r1
0 +Iii r 'i14 CON1704
S r.
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER'S Zro 5
-95`S=2.7413
Y9Q6 .NOrtn
Afloat SM.
B"`. In Foal
ISeeth"2'49 NI 26 iw.R 3 S
PHONE
"V5
12-6 irfai *Th1Ilr'
ADDRESS
ZIP
'714°
DESIGNER
5. ADDRESS
PHONE
/'.'ION'm 0740'0.Iroa.
CHANGE OF USE FROM
100
D RPL. O 110E.
O M.H. 0 POOL
0 OTHER
°g72"6 I
115gI }}
No. ow I .3....Stwins > m IHe of wallInes
El2.•t I wow. ens...mint
CERTIFICATE
el EXEMPTION
DEMI(6,,, �I C'}AL CTRIe'
�A ,E i WATER
utun
sEiNE
Enum
wrMl
weM OnH.I. re,
USE 0000
I hereby certify that I have read and examined this application and have read the 'NOTICE" provisions included
reverseon side. and know the same to be true and correct. All provisions of law and ordinances governing this
WPC of work will be complied with whether specified herein or not. The grantin of a permit does not presume
o give authority to violate or cancel the provisions of any other state or local law regulating construction or the
Performance of co. SEE REVERSE SIDE FOR REOUIRED INSPECT! NS
DATE OF APPLICATION � SIGNATURE OF APPLICANT Y('� ] ' — 1
CIAL CONDITIONS:
SPECIAL APPROVALS
NAME DATE
FEES COLLECTED
SineI S
Building
Plumbing
.2
Man Ch.ca
SEPA
Mobilo Homo
Other ISO.Fityl
TOTAL S
_ CCS
02• '25100
•25100 5
•251.008
A •COC 8
307.3&
12-31-81
6 6474
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.