1983, 03-08 Permit: 83A-1253 Inspect(PLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH Ell 7E0 FERSON / SPOKANE, WASHINGTON *92507 (50RI 456-367S
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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14C0.5f(001005
4.�
PARCEL NO.
LEGAL DESCRIPTION:
I.d.ed SA emen bad.. Feet
Us of Penal
ZIP
GESIGMER
opaw:E 05 475E F.O..
TYPE a N€W 0 ALT. 0 AD. N. C RPL. ❑ MVE. L D OTHER
T' 00
o BLO. 0 PLMB. MECN. ❑ M.H. O P00
W. ^RK
9. ORM" I F0 (PPKiv;t FAD .EWER
Za.0...,..,! I w,0
.mwGw0
feel
p,wWM
DT• Dw DR.aa.
Typo Cseel.
wwa
Nee Oar. absolkan IAwwwww wu..n I Tow SNP .Taw
�...wawa
Caw m hn II basement w. S.
....1
�
men Fm uPr Fm.
tloces
No. flcoe
Ammo
Cam. ..b R °
vw0
Rowed O
~
TwO RA Awl.- O
.ND
I Mreq unlry m.01 0.0.0.90 and a.a0nln.0 HOT •p5llollon and Naw wad to. •NOTICE" PloH•Ion• InCl•••a on
mfr. .00.. and know in4 same to 0. 1000 an0 co00ect. All p0012IO0• of laws and 000100.rcw5 g05.l•InQ 0001. 0006 01
wpk'.BI 5. Compiled 6401( wMINe0 specified N.0•In or not. Tn. venting of • 040.0 0o« nol p0saum• to Blva au-
OyNf p vp4M. M aooM 0M 00o01alan of any olne0 .tale or local law 0.901.009 oonat0vcllon or the 06,0,..0
M anaN.clb6-3 EAEVEA5E 5IDEIFOR OUIRED INSP CT I• S (�
SIGNATURE OF • APPLICATl iY
OWNER OA AGEIC' • - 11.-1Mf � DATE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
INNBLIest !INN. PATE
trowr
104
FEES COLLECTED
0
Man Ora
swat
20
TOTAL t
04• •3000
•30000
A •1.00
1252?
02 -23 -83
6474
WHEN MACHINE VALIDATED IN THIS SPACE,
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK <
FINAL INSPECTION: 3 - S �i (e
DATE REMARKS:
5-----g5
&5-€ 12 .', � !/y , 4:2 44-,-,/,' / 2- U X1.402