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1982, 08-05 Permit M82A-5138 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR NSE W SET BACKS TYPE OF WORK FINAL INSPECTION: ; 5 - <'($ DATE J. 2 REMARKS: � ( /!/ )7;7 G /i,, / (y/' 72-e{) APPLICATION/PERMIT ulu52u SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 1111 .IEFFEASON / SPOKANE, WASHINGTON.2E0 / 0001 466.3e76 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 2. ,Oe ADDRESS East 14203 Broadway LOr BLOCK 'SUBDIVISION 3 woEEii D OwNEa00b ET2 Schmidt East I4203 Broadway CONTRACTOR AODEaec 204 Indiana PHONE 926-6758 211, 99216 325-4505 $9207 PwRLEGAL DESCRIPTION — SEE ATTACHED L NUMBER Aciu•I Sal Dews In F441 U4 of a.Hwo to Type Cons . 0 WOO Dv., ONo aID n•ao. OESiGNER PHON wit On Building pew In Sp. FL ADDRESS Pew CHANGE OF USE FRO TO FmI TYPE T, woRK 0 ELo. 0 PLMm. 0 MECH. ❑ SAN. O POOL orNEa ❑ NEw 0 ALT. 0 wow. 0 Rrw 0 MVE. 0 DESCRIBE WORK 8, install heat pump system. V ALUATI IfTOO CE OAB ELECTRIC v Row. No. of Ow.11inls ATER SEWER CERTIFICATE of EXEMPTION A ed rot... num.Oln. Letall.n'''''' I FEES COLLECTED Owner O wNs1• 0 Public USE CODE relay Certify . V. I have readsameobe examined this application comeA and have read the "NOTICE" oongoverning provisions ring on this verse ode. will 9 4now the same gut 6e true and coned All Provision[ of laws and ordinance[ [love nine this orPeeof stub will be complied with whether specified herein or not. The granting of a permit does not Presume o lon avth«ity to O,late Or the Srmiarom al any other tote or local law regulating Construction Or the lorm per anx of construction. SEE REVERSE SIDE FOR REOUIREO INSPECTIONS ..._� 6-16-82 SIGNATURE OF APPLICANT /t 1? )Z.FA/ DATE OF APPLICATION SPECIAL APPROVALS SPECIAL CONUITloeS: NAwE DATE .am f.a •N &NNl. S Building Numbing Plan posh SEPA WWI. Now. Other [Specify) 4.50 TOTAL S 14.00 fitj-/ 04• • Ia.00 •I O.000 A •0r; 51373 06-21-F..7 6479