HomeMy WebLinkAbout1982, 03-02 Permit 82A-1377 InspectS(2 9
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APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH B11 JEFFERSON / SPOKANE, WASHINGTON Wang / ISOM aSAJB S
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
PERMIT NUMBER
_DR ps 1CD &,
D =�cJc R. rA�rll,ir;
A !" ;,-z+ P II<(U1C'1
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e51 •0)4z
3B r7.0I-
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER'S 3=544- IOOG,
Actual saRecto
InPeer
North ISoutrr
'yax 2�9 "=n " " .
TVOn,r 11P. F I
Over ONo ❑ Reae.
BrAwing Area In So. Ft.
5. ADDRESS
CHANGE OP USE FROM
7.
ZIP
ivo
E7;ew O ALT. D Ao , RPL. D CAVE. D
woRA DTHER
0 eLM•. 0 MECH. CI H. D POOL
Area or Deck,
FInlanerl Basement
rage
UMW. Bawnwnl
No. Ball. II
I No. Stool. No. Rooms INA ell ,
G.d.
CERTIFICATE
of EXEMPTION
R. DESCRIBE
v4L� i4ies
(Ldnx 3 WATER Enron.mI pul. unen I DE
NjLertTIC Punl �'MEEpppE
11 hereby c rbly that I have read and examined this application and have read tthe "NOTICE" provisions included
on side. and know the same to betrueand correct. All provisions of laws and ordinances governing this
reverse
work will be complied with whetherspecifiedherein or not. The granting of a permit does not presume
op give authority to violate or cancel the provisions of any other state or local law regJlalfg corQstruclion or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
2) 041E OF APPLICATION 2. O L SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
• �//i111yF1,
FEES COLLECTED
s. ele $
Building
Plumbing
Mech.
Plan °HAY
SEPA
Mobile Home
Other ISPecilyl
TOTAL S 4,I
02• •61.00 1
•61.00
•6100L
A •nr:r
1 '67e
C -01-R2
61179
rAto
WO EN MACHINE V ALIDATE D IN THIS SPACE.
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