1985, 04-29 Permit: 83A-7007 Inspect2100 NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH St, JEFFERSON 0 SPOKANE, W ASHINGTON PSS*/ / ISOM 484-3575
r r•ooeLss APPLICANT; COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3COPIES
N. 1307 Bannpn j j.
•Oms
3.
•
We
•oo•FSs
N 1307 Barmen 1 ok.n
V.110 F e laoe in
ono. ss
166 0 3 Avo
S. Verada', WA
6
WA
TYPE NEW 7 ALT. 0 AD' N. 0 RPL. 0 MVE.
7. OF / 0 OTHER
WOi'K i. 610. = PIMB d MEGM. ,r'i M.M. ❑ POOL
B
S°"a` r LW-ailed CC -700 Country Confer
•
I now y prtity D .1 N ❑ met !have mad and
•rammed Inh ppIkatlon and have read the .NOTICE' provision. Intl Wad on
reveres 5100. and anew Me same to be Nu. and (mean. *00 provlolone of lane and ordinances governing this type of
wW W comai.d .0070 wnether NAKANO 0•0•n or not. The granting of • permit does not presume to give .o.
Inorsty 5 rgyM er 0••0.0IM orou3NOne of any other state or local Ian regulating ounM0000on or me performance
of c4Neuct*n. SEE REVERSE SIDE FOR REOUIREO INSPECTIONS
SIGNATURE OF
OWNER OR AGENT _ APPLICATION
DATE
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE
SPECIAL APPROV•LS
P....AL w
FEES COLLECTED
swab
Men Ova
.EPA
100.1.1
om. R.wlrvl __
TOTAL S _ 2.0e
0
04. •2000
•20000
A •000 8
7006P
07 -27 -83
6470
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION: 4----(4
SET BACKS
DA E /, REMARKS: /
Z (, N 1/'g/1 t �l / `t )u /0 /�P