1984, 04-13 Permit: 84A-3325 InspectionPUN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NOATN 111 JEFFERSON / SPOKANE. WASHINGTON M5e0 / 15091150 -0115
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
.MEET•
Y
It-
PARCEL NO. OS 5'44 -o4 lit
2.3 4 .S°°' TM l.F4 tll + ' P
3. t MIf9tTf - COLLDJS
swum.) ADORES '—
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5• .po.EY
L54 n314
LEGAL DESCRIPTION:
ZIP
5 ' el oo & f. E •l w- .i14h7 •
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I nF atm De`' Ones
ViCosEn
2c —0 f ..nio.•I•• • w Nn
Taal .eP.
.COPS
ZIP
TYPE 'KNEW 0 ALT. D AD'N. ❑ RPL. 0 MVE.
7. WORK K BID. 0 PLM B. 0 MECH. ❑ M.H. 0 POOL D OTHER
Poivol Val 0
8. pf CN.Ewd.R qTr NEO GAesA6, •<
D
v •50 Y •
Yet O ▪ Ao1M
B. VALI/ATM.
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N �If3 _ r.iviiE00 3 L
1
a...we
Pwk 0 MMeN/C
hereby certify that l Mew read ono •..mInad 1111. applkall0n end have read the •NOTICE• provIslon. Includes] on
averse 'We, and know the tarns. to D• Nw .00 sorr•Cl. An provision. 01 I.0; and Ordinances governing this type of
• ant W complied ally .00.111•, specified herNn or not The gr.m103 of • permit does not presume to Owe •u.
Mer11y M vldwe w sent 1 the provisions of any other state or local I.0 regulating construction or 1M performance
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT /.. 5
SIGNATURE OF
OWNER OR AGEN
APPLICATION
DATE
f 11
SPECIAL APPROVALS SPECIAL CONDITIONS SEE REVERSE SIDE FOR NOTICE/
IMPELIm. • OA
nwvnp
n
MINIM
•r
NFci A c6 -}+DDN FIP.EWA-u.
IN - BE-TweF4) TORE P'o E 0 CAYIACo;E.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
INS VS
FEES COLLECTED
W SW,'
P E 1000
SEPA
Module r,
SAr None
TOTAL S
PERMIT NUMBER
B4A- 3(
02• •1800
•! 600!! 1
e0u
3326 :.:
GC -1: -66
56 c
3
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.
ADDRESS
DATE
INSPECTION RECORD
REMARKS
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