1982, 02-02 Permit: P82A-734 Inspectf iSPECTIcN RECORD y
?DD1FSS
DATE REMARKS ,
/ / p
1
APPLICATION/PERMIT
SPOKANE COUNTY — BIeILDING CODES DEPARTMENT
NORTH SII JEFFERSON / SPOKANE. 0A3NINOTON 90260 / MOM 4603676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADD.ESS
• LOT
/1,2/LONE /7 t�
LEGAL DESCRIPTION — SEE ATTACHED
2
pWNERF0 fL Ceps-.
"Po°e�z C yb >1
C; M6;N9
P.�Ea�Y soy
S' ApOREss
Mt- 4gd9
992e*North
PARCEL NUMBER'S
Actual 6.l Backs; •N Iw.
6D.3 N-S5l
Slaa of Pomo Sons Classillmilon
9aao
PHONE
Do.. Oro "'0 ...a.
Valuation Ouliolno Arm In Sp. Ft.
ZIP
main Floor
Wm. F100,1 0 APIs
CHANGE OP USE PROM ..
8.
IT°
Arm el Omits I FInlm.aSammani Lind, Bawm.nt
TYPE ti„.
7. or
woRK 0 BID.
DESCRIBE WORK
& VALUAi ION
9.
O ALT. 0 0024. D RPI. ❑AWE.
KOLL.. 0 MED». a M.I. 0 POOL
❑ OTHER
No. eons 17.1101. e. Room 1110. 0,0101117*
CERTIFICATE
al EXEMPTION
r.I Amid
/1/
oAS
ELECTRIC S WATER
Enure. am. Ilecallon IA7M)
SEWER
wen6 Ow.. 0
USE CODE
I hereby certify that I have read and examined this application and have read the 'NOTICE" provisions included
ors EEEEE 111
side, and know the tame to be true and correct. All provisions of law and ordinances governing this
lypeOf work will be complied with whether specified herein or not. The grantin of a permit does not presume
10 give authority to violate or cancel the provisions of any other state or local law re !Ming Construction or the
performance of construction. //S/EEE1 REVERSE//[(�J'SIDE FOR REQUIRED INSPECTIO
DATE OF APPLICATION 7�._JJ_F__. SIGNATURE OF APPLICANT.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
i 5luaoer
E3 - 7 ; M- '
3,- L o -vs •
i - 5 :,A
I- axsivr-r"
1— N-cita,
FEES COLLECTED
S'ryl 1
Building
Plumbing 6/7 r 0(7
nan cn k
SEPA
Mobile Noma
07047 15660110)
TOTAL S /l 11 (,
03• •61.00
•61.00 0
• 61.008
A •000 8
7338
02-01-82
9 6978.
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.
0w"