1983, 01-19 Permit: 82A-0094 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET HACKS
DATE REMARKS: AKA
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App,, APPLICATION/PERMIT .�y7 ' - _ .
I SPOKANE COUNTY—BUILDING CODES DEPARTMENT 77/ 82 • .
• NOATN 111 XIPERSON/SPOKANE.wASHINOTON EOM/ISOM eSesSETS `•
' APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES e
nSA
• Te.oAI C97.'j 3 �l LEGAL DESCRIPTION—SEE ATTACHED
t,Q• •id00
r. LD .O f Or�,E1D PARCELNLINNER/S •I d co L,
:. •14.008
QWNER
a ESopJ FT1o�fA`iSA PHONE27--4537 0`'0
AO<•L:t71r 0.loFFI-r`f 9920 ,.,A...iset.N hew
os
CONTRACTOR N.ofP Zona CN«Rle.,.e 0I-C7-82
4. ADDRESS ZIPP.P TDCee", OeF„e.ne 6474
DESIGNER PHONE V.Ie.Iloe Do.,,A.'In SO Ft.
ain e WO,
6.
CHANGE OF USE PnoM To ZIP MA.,a o.F�roo.«FPl
nHhw Nommen!Sum Unue Slogs...
& .E.F I
G rcw O je. ❑AO•fe. ❑Aa. ❑NV' D OTHER Np E•1R ^LI«L.1 q e.Room. Dw«R...
7• . .o N o..o. ❑.s..s. CT NEC., ❑HIPC ❑.00L 0(004*ITATE •R • Co.
i{�} p / EXEMPTION
E. i R relRwe
& oc LLs'I're;r44„f 13C•r� I F Com) 0..'.04v.
00.000 i0..N FEES COLLECT ED
wATIo SOURCE I�' DAs LECTIOC wATER scwcn w a.r.t. USE CODE
9. I F DAN.l.0
I hereby certify that I have read and examined this5:0Ftr s
avd eel. and have,Fad the"NOTICE"provisions included
i and know the o to be we and correct.All pro.iTlh.T of laws and ordinance,,not ine tme
Of workwill be Comvbed same
whether FDeeir.d heroin or not.Th.yrantiny of a permit does not presume Sulldpq
to Dire aulhnriN to violate or Cantel the INGLOSIGm of any other Tt.t.or loud law modeling ConatruClion or the
Derfamance of cent!ruction.SEER EE VE RSE SIDE FOR REOVIRED INSPECTIONS Plumping
DATE Of APPLICATION I) (X
/ t SIGNATURE OF APPLICANT (1(rLL L% �!�/j[ h. —�
SPECIAL APPROVALS /SPECIAL CONDITIONS:
NAME DATE Pim.Eke,.
Em.le,OP
Manx... SEIM
Olher ISImeihrl
.E..,.,.,.« TOTAL S,
WHEN
,;',,a,Lh.r.h.'
THIS Ruc MVCNINF VALIDATED IN THIS SPACE,
I
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