1983, 04-15 Permit: 83A-0576 InspectNOSTEIER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NOA 811 JEFFERSON / SPOKANE. w•SNINGTON SATOO ISOSI SOS SSTS
AOOSESS
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
ORS
LEGAL DESCRIPTION — SEE ATTACHED
CEL NUMBER,.
'soon asi lw•■•
Do., Doo 0 RAT,.
%AGE Of_ F nom ro
Nun floor
. $ Er■ 0 ALT.
00.o,.. nt. D.to.
. 4 0 .o. Dt. ,X.LFECN. 0 M.N. 0 POOL
.1.7A TIT. Lougee
LITA?I'TiES
OT EA
ANA o■ CIPTAT I FOAM.. •NeTeni
No.
No. Rooms
CERTIFICATE
al EXEMPTION
LotatIon
nFA cnanarnna
Poo., CUSITTIP 0
ry cvnty that I nave read and e■on.ned tnn apohcation and have read the 'NOTICE" prcoisions included
nae
•o& and know the same 0 00 noe and correct. All provis;ons of law and onAnanCes 9overnin9 10+0
• oork .011 he compl.ed win, whether tpecd.ecl herein or not. The manun of a permit does not PreSome
sothoeity 10 vpolalt 00 010,01 tne Or...0ns 01 any otner state or local law regulatirn co/1411001.n or the
lance 01 construction. SEE REVERSE SIDE 009 REQUIRED INSPECTIONS
IF APPLICATION SIGNATURE OF APPLICANT
v
IECIAL •PPROV•LS
pique OAT(
SPEC/AL CONETITIO
S TATIE $
see..
Ch
SEPA
Allolods NoTr.
CATAT MINK 10
A
rArb576,1
• 1300
• 1000e.,
.0:0
01-24—B.3
c, 6474
44'
TOTAL $ e/.2s
INNEN MACHINE vnalonTio IN 'NIS SPACE,
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK �`�
FINAL INSPECTION: �� 5 -3 f , /-e
DATE
q-(5 8-3
REMARKS:
CO-z7i Q4-,47