1983, 03-03 Permit: 83A-0136 InspectAPPLICATION /PERMIT
SPOKANE COUNTY-- BUILDING CODES DEPARTMENT
MOAT, VI JEFFERSON r SPOKANE, ASNPNCTON 99260 r 16091 •663676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
[ 1OB /0V _ mSTaN(a LEGAL DESCRIPTION — SEE ATTACHED
^ ^ Q Ears V Jr
A 44444 SA fleckE
Typo CoAst
O•. O
CHANGE OF USE FRO
6
TO
Area at oee9.
O ALT. O AOw. O RD_ O MVF.
7. worm O OLD. ORE... ,MECN. 0 DAS O POOL
OT
NA SAM
No. Room.
CFR TIF KATE
ol E %EM /TOON
OESC
8.
ALuADON
Rn �l 4k° PLC'
Tc,6
I TIE
Loss Ion IAm.
00,10 001..1. 0
USE COO
I hereby Certify that 1 have read and examined this application and have Ned the "NOTICE" provisions included
reverse on side. and know the same provisions e to he true and correct All p of laws and ordinances governing this
Npeol work will Pe complied with whether pacified herein or noL The orantln of a permit does not presume
0 give 10100rit0 (0 violet1 or 0010.11 the provision of any odor state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REOUIR ED INSPECTIONS
Oa TE OF APP ICADON SIGNATURE Oa APPLICANT
SPECIAL •APROV LSr
RAD
SPECIAL CONDITIONS:
Po
A•1e to,Re96.
5 COLLECTED
PI C1 It
SE PA
Motile lean.
Olhw Moor fel
TOTAL $ �f M
Cu• •I400
•140011
R • 00C 9
1758
01 -07 -85
8 6x74.
OWNER
INSPECTION RECORD
CONTRACTOR
N S E W
SET BACKS
LOCATION
TYPE OF WORK
FINAL INSPECTION: "?a -3-813 tiiaJ
DATE REMARKS: