1984, 04-12 Permit: 84A-3286 Inspection CardADDRESS
PL1SPECTICN RECORD
DATE REMARKS
i3 -�� &,te / z >� =%J J of J
PLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 513 JEFFERSON / SPOKANE, WASHINGTON M2S8 / 4601) •55.0175
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
11170.BY fl , MAW,
PARCEL NO.
3.
•P��NE K115An1kE h00 qz -2837
66604= pPJ G
ZIP
ltICE.SEEkn0E•
PoIONE
LEGAL DESCRIPTION:
.WW in• 04.1
Nov. I
WIN ,P.al TwwCassenkatlw, I N$
lOiro°`y
Scroniv
Ow. LOr4 00.•0.
CEVOeER
5.
ACOREH
PrKINE
ZIP
0,41GEOP10ENb.. PTO
B.
N..Ca R. VNwlee
UP00. ban .p•,N>.P•
Opyr Dolt
ITN.IGk .PmAr_
TYPE $NEW 0 ALT. O AD' N. D RPL.
7. OF
WORK D BLD. 0 PLMB. 0 MECH. O M.H.
D M1E.
D POOL ((OTHER
E. u•oeeEPARN 1001 5- 1\VA.Q111i1F —')K
w. O.rVOI
Gall. al Esr.pl.
arVatiana
IR,p•U V..0 800
8.
PCXXICE
Vr�ES
au 1 ELECTNc
x..60
VPo N.owK0
O.�0PP
P.AIk D 70.0.0
Plana Poo-Prof 0
I hxehy nrtly Mal l new read •04 esaminad tn1E aoplloatlon End nave read the •NOTICE' pr01.40ne Includad on
reverse side. and know the um• la be Prue end correct. All provisions Ol laws end ordlnancee governing this type of
work will be complied 0044 *44014400 .0.040.6 herein ar riot. TIN granting 01 • permit dos not presume 10 give •o.
Monty Bs violate or cancel In• provisions of *my Other Elate or local law r0gvlaling construction or the performance
eloon. ruclbn. SEE REVERSE SIDE FOR REOUIRE INSPECTIONS
SIGNATURE OF APPLICATION
OWNER OR AGENT �e/ i� DATE '✓— /J •.CSI
SPEC Al APPROVALS
"lat./ PIMA!. tMTE
ern
w•ww
PIA
0/A
SPECIAL CONDITIONS: MEE REVERSE 010E FOR NOTICE)
NESPL P oNM - (1-QLY. FtrEwAw
Cktot e.,E. — tYps 1X1 r' /e rl
12f- 511-E-S-Itocr-
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AMD VOID IF WORK HAS NOT COMMENCED
IN lad DAYS
Rol..p 0
FEES COLLECTED
8 0rF
44...4. q
P. CNa
WEI Hon*
OMP RP�NI
TOTAL S7-8 °
PERMI U ME - g
2 •
•2eoon
P •O
3265.4
00- 12 — ^_0
LU77
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS •EC0ME1 A PERMIT.,
.ee ;.y, -8 8 .... 17L6f •2LoO.e.,