1984, 05-30 Permit: 83B-1018 InspectAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH all JEFFERSON / SPOKANE, WASHINGTON *5000 / (509) 050-3075
APPLICANT' COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
l
Y_ I *050100
-dfld • • •
PARCEL NO
P.,dNE
'79Q? (,
LEGAL DESCRIPTION:
90,E55/ C ` 32%
5. anoPEss
7
LAN
GrRa«. 03
Eon »wtl
pv� Uw O
1R.,,,a4..1 •■Uan l i 4.0 rmu
Nm
Wow i.e. IG..vN•.•a
oLAN.r.A wpm
6
TO
TYPE
7. OF
WORK
O NEW 0 ALT. 0 AWN. ylli,RPL. 0 ',AVE.
0 BLO. 1S PLMB. 0 MECH. 0 M.N. 0 POOL
0 OTHER
B«. INe flaws
e 005c0R.11.1E 0 0 .
soX.PUcE L 5 T 1 ELECT
G
n •
�r.Da�
ii
Fin. Y«p Ilff[j«
e v.,,
,,,e t Ro.., NWT
y. .o.. 0 Rave] D
.RI.IE� 1 "wEln§
m,«• D
1 «eb7 50(1110 That I have re.E and ...mined MI* •ppllu1Ion and have mad Me •NOTICE' pro+i.,on• Included on
side, end LAC. IM ••m• to he true and cerr.i. All provision. of laws and ordinance. governing this type 01
emit Mil 7. compiled Mel .hel7er specified heroin or me. The granting 0) • permit doe* Poi prmum4I0 9150 se-
170r110 I0 0101.1. ee cane., the provisions of any 01741 .tale of Leta) lane regulating 0onetru0 100 « Ihe perlo mame
01000.1(.01on. SEE RE AS SIDE F•R' EOUIRED INSPECTIONS '1� �(
SIGNATURE OF i ; 7! / CATEICATION /�Y/ .
OWNER OR AGENT
PECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
A .
�.AJL - GT-L sG -•✓4. bx� - dleytLaa <E�.,
FEES COLLECTED
•.)4009
Plu p,p
P1.6, Carat
OIN. R0.4rl
TOTAL 3 >`7� �
PERMIT NUMBER
101S
03 03• •1700
• 17000
A •000 0
101.70
10 -20 -63
6074
I
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:, "30g
DATE REMARKS:
Cy iy�l pd-a
Rce