1983, 11-03 Permit: 83B-0774 InspectPLAN NM.BER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING 8 SAFETY
NORTH 111 JEFFERSON 1 IFOK AN E. WASHINOTOMS1N011101141011
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
nalr..00.1M
1. S 1318 $I4u.& L.
PARCEL NO.
(DT I IKO[r NAaVYO.
2.
LEGAL DESCRIPTION;
3. "1'2,7,04 (00'1 Nell r-
. 0.1
&AM ..coats
11 9 $Lo4v
Drrlr.ly.
I
�EE> C,4Lw
..vi4nST
:..,. e.o� a+n .N $
A.
po:' r tn.."'
ioZ
ial
11.10...I'.�•' mg. or 0.01.
Mum •MOO.
tam. Oval Wad. '..mfa.lVa.. 1a. Yea. Pao Ana
S. ACOa•11
L....... id._..._ I
o..- GEQ.AI.I. .u.
Iro
o.. ma l..m 1 • (u..v
l...Y.n.I...,
inw•
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TYPE 13 -NEW O ALT. D A�O'N. 0 RPL ❑ /AVE.
7. 01 DOTHER
0OLD. 0PLMl.f3TAECM. 0M.N. 0POOL
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vv
.. 40111ET
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`MO
— 0
D
0. vu odna u1C1.0 *44221 I I
O
FEET COLLECTED
Rr.
1 IwNry on11T INN
... A 1Mr. old
.v. .II IN ranM1•1.110
010)07...3.1•
al co - Woo... PEE
AGNATE EOF�'
OWNER OR AGENT
l Ka. rod and ..NnIr.W .1••••11.1., and Nn Irl •. •NOTICE-
Yee. In• ow,* to b IM I'd mm•d. API pm... M 11.1 and on/N.
...1.• •Pc111.1 INnln or not. TN• VI/ION N • P1n1.11
a enol Mt P.mN1on• N any MNrr MM• et bol Y. r.guIling col•lr
REVERSE SIDE FOR REOOIRED INSPECTIONS
pv.Wor. NIMH •J an
o.* pohn1N10 ONO 1TP or
Doro rot maw.* b 0).a ON.
dbn s IN• pNN1o1.•r. •
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1
Rae.,
APPLICATION
.4 i DATE
SPECIALAFFRO LS
ECIALCONOITIO OEEREVERSEOIOEFORNOTICEI
Ran On.
M
IN -PA
N..•..
Id*/
Ira rv..
.r,.-..
o. R....0
1.0•—
--
u....
-p
TOTAL 1
0
PERMIT MAWR
001
A
• 2000
4000E
•000 8
7721
10-20-93
6070
, I
t�1
OWNER
ill -CONTRACTOR
N S E
SET BACKS
INSPECTION RECORD
LOCATION
TYPE OF WORK
W FINAL INSPECTION: s.
DATE
/0,) 3
/REMARKS:
( .fir 1.i..4)
OEM