1983, 03-07 Permit: 83A-1520 Inspect9.
APPLICATION/ PERMIT
SPOKANE COUNTY -BUILDING CODES DEPARTMENT
NORTH .11 JEFFERSON
APPLICANT: COMPLETE NUMBERED SPACES 'PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
,D. ADDRESS ifs
Nu ww LP yA
AOD0ESE
GergT s.,.- !Ire 440t.04e.
DESIuNEa -�
ADD EEE
CHANGE OF USE FROM
TIP
PARCEL ITUMBE
A..... E..••<1.6 .00
iv°
c
PIFONE
TIP
❑ NEw O ALT. O AO N. D RPL. O «VE.
7. wo RR O.la O.L«.. O MEC.. O M.H. O .00.
DESCRIES ofR. LEc a� HATER sews"
0ALUATION1EDOTC:1 GAS l
.1,10TICV provisions I luded
never S• 000, and I ow t eae and be true this application
provisions of laves and ordinances governing this
on tis .01 know Me same togranting o
to g of work ill h complied Ice whether epro specs i00 •00 . er not. The tin 1 •permit doer cti gratin
to g„• authority to violate or cartel N< provisions of any other state a local law reylati � cont ct on w
performance of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTION'
o.TE OF 4 11c00 SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
caws wee
0 OTHER
Tye. Conft
.. ONo O Roo.d.
Arm .I Doc. .”
. l ,No .Che .1
.
..,. I ... rola"..
CERTIFICATE
N EXEMPTION
Enu, DNI, ILw°w IA'«I
Ila p l use coos
O aN.r•
FEES COLLECTED
Sinal•
sAw:.a
n«..el0
Plan Chace
SEPA
IAmp• Horne _—
0000'1E.«<a0I
TOTAL S �5 /
03• •4500
•45003
A .000 3
I5L9f
03-64-83
c 6479
"HEN MACHINE VALIDATED IN TNIS SPACE.
OWNER
INSPECTION RECORD
CONTRACTOR
LOCATION
NSEW
SET BACKS
TYPE OF WORK
FINAL INSPECTION: -1—.3 Fi Le
DATE
323-- 3
REMARKS:
-� �z £