1982, 09-11 Permit M82A-9136 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
IL.N NumnER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
WORTH•II1FP PERSON / VGXANC WASNINOTON.260 / °WWI •Sa3616
PERMITER )13
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
aeADDRESS
4-37-0 F
GOLlp,-1—
°°ESC RE WORK
VALUAT,OM SOURCE ELECTRIC
9, rtEs
WATER
EwER
LEGAL DESCRIPTION — SEE ATTACHED
CERTIFICATE
of EXEMPTION
m. Dlrl.LnoLtrior rA,..
b�O P.I..I. 0
snor USE CODE
I hereby certify that 1 have read and examined this application and have read the "NOTICE" provisions included
Skit arM know the same to be true and correct All provisions o1 laws and ordinancet governing this
otoe r olwork will b. complied with whether spealied herein or not. The granting Of a permit does not presume
give authotity Io violate or cancel the provisions of env other stets or local law regulating construction or the
performance Or construction. SEE REVERSE REVERSE SIDE FOR REOUIRED INSPECTIO""
DATE OF APPLICATION—A7— 4'r SIGNATURE 00 APPLICANT
SPECIAL ARPROV L E
NAME
Co. Cast
INvw
tl'PECIAL CUNDITIOPQ
FEES COLLECrco
Pleas Clwek
SEPA
Mobil. Man
Other ISncifvl
TOTAL E —Z—O
04• •2r i;5
•20 i00
k f.
41:5v
IC—^6—'2
647re
ACHINE VALIDATED IN THIS SPACE.