1984, 02-14 Permit 84A-1278 InspectNLAN numaca
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTR•II XPFe NON / aPORaNe, MAENINOTON r•ay / leAI MAWS
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
}
A• anon
LOT
AL LK
SuiBly
David Balch
ANON
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBERS
AODRESS
Sa
CONTRACTOR
Contractor Inc.
PO
5.611 Tieton
DESIGNER
erman P,tsD 14
S ADDRESS
N 909 Pines Rd.
CNANOF OF USE FROM
PHONE
466-3550
A.trN ase & M Feat / la. of Parcel
NPrin
IA
99218
PHONE
.Y26-9533
zIP
99206
PM Con
om.P..e
❑v.. O.
Bolick.. Arm w sa. FL
m .l D.«a. 1 ri.lw.e e.
Daram Area
a NEw ❑ALT. ❑ ADM. ❑ R. ❑ w E
a OTHER emna N.. Slott.. I o. ROOT. r .. Duration.
C".. a M.D. D NAM. a wt.. a *AK a POOL CERTIFICATE IJ K
al EXEMPTION
ORA
.0. VALUATION
Install `,�PllmlbSng Iixtures num. Dbl. recatlen ELECTRN: j wATfR sEwER ....Poetic OhNw. ust CODE
FEES COCL£CTEO
vALwTlow ,/ w
e. i .ca r.tRm
• I hereby certify Mel 1 have seed and examined thee application and have read the 'NOTICE'. SDI
on renew ,id. arid know the same to be true and corset All n provisions included
this
Dro.irionr of turn oral permit do , governing this
type of work tyl be complied 01 with wheeler ATO EAalt of any
of other
not The seal le ,. • permit c duet not Presume me a.11ap
to 9i+• authority u eiotio . SEE cEPRE the SE 9105 Of any 015 state I Sr E Meal law regulating construction or the
r prtaTlRn.Le of commotion. REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
•� DATE OF ae,LKsioON 2-8-84LGNATURE OF APPLICANT /J� f � �--- MAM
,OHS:
SrECIwt APPROVALS
SPECIAL CONDIT
2 toilets
2 basins
urnial
1 janitor sink
6 UNIT&
$29.00
PIm Ch h
SEPA
Mows. Nor.
Other IS •0!vl 5. °%
AN/ 34.
TOTAL irB
NUMBER
PERMIT N- 1iT
03• •3A00
•34000
A •000 2
1277E
02-15-84
6479.
INSPECTION RECORD
ADDRESS
DATE REMARKS
I
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