1984, 03-02 Permit: 84A-1594 InspectINSPr.k.i ION RECORD
ADDRESS
HS'PLIL:A 1 BUN /PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH S11 JEFFERSON /SPOKANE. WASHINGTON 811210 / (500) 950-1155
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1..,RLea. 20 AI.Fo )[L_
2 Cr 6 %2r }jIL.t.i
owNE• [Lae
3. ?.141.XIN so.)1. =t
MaRlad •OCKE»
gip.
E174 . E.
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2 -942B
PARCEL NO. 29591 ' 0706
LEGAL DESCRIPTION:' l
21.
5
pEE c, G IERI I o 36, -J
911 -eI 90
245 2.0 G
OP
a..0EOf VS( 0,3.0 ITo
9e,.I SN R. In T.110
"nod Innto
Los' X 7 3'
1 11�
torn floor Imo_
envGXl'�i •
1
E'
Ov. o�
000d.
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7 080 Pi
flarlii
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llon
sas
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'..want
',1;1;00 '( JU MN– NEW ❑ ALT. ,AD•N. 0 C MVE.
T. WORN BLD. C P1.666. D MECH. 0 M.M. C POOL 0 OTHER
OFSCm.E WORK
a■,w.
Val OA T.On
AC9rrw J c ep.ve(13'' 2.o'
AT.,S
SOLACE
tfOLITIES
OAS 1 0.10700
L
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Powee .0 ottfl
..wP_, Natant
.10 ..WK.D
Kettle
N.. Apw..e 0
Rao., O
KOKDNI..I.R
,11 nava.,ad and .0.min31111. *00110.1100 and have read In* •NOTICE• 00012.100. Incl*d0 On
»y.12.. d knout In* HOW 10 0. 110* and 00r.M. All 000vlalon* of Iowa and adlnan0» governing 101. type 01
rota will Co 00100110 with ut0•1n., .0.01110 twain a not. Tree olanllnp 01 • p.rmlt does 001 pontoon, l0 9IW *0.
Many l0 000.re a I It. provisions of any oth•1 a tonal law 1.pulallp 000511uctlon 01 IM perlamanC
amnaN00?I0o SE a.► ERSE 51001,040 .a I5(0 SPECTIONS
SIGNATURE Of '
OWNER OR AGENT
APPLICATION
DATE
OOEC AL AMPR1t2vI.LS
�_4
1000
rd%A{E�4
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
!/po C/14cMAr
LIC # SM+iwc Z15P-4
PERMIT IS NONTRANSFERABLE
PFRMIT 15 NULL AND VO,O If WORK HAS NOT COMMENCED
FEES COLLECTED
.0na,ry
Pan Ch..
.AFO. Mama
a,. d»ehl
TOTAL 5 420,
RIIMHER
100, -Is94l
WHEN MACHINE VALIDATED 111 THIS SPACE,
THIS BECOMES • PERMIT.