1984, 02-14 Permit: 84A-1246 InspectIOLAN NUMBER
1
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 111 J(Pfe0SON / SPOK•Ne, WASHINOTON Nt. 11>0•I •n NTS
APPLICANT: COMPLETE NUMDEREO SPACES — PRESS HARD TO MAKE O COPIES
111041.001014
1.
T.
AFri -
� 4.7
PARCEL N0
LEOAL DESOMPTION,
7.7111
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3� Fon�.s
r.. c+.....,.. I
1 b .d
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Yan, flaw
LAP/ 120A
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O. w0,. rlo.r LTO
TYPE .a,*EW D ALT. D AWN. 0 ROL. 0 MVE.
VOI'ORR D BED. O RB. 4y�G
RMB. M.
. D H. 0 POOL
0 OTHER
erre. r.❑ I+C
B. ��~ / % /�!2'}7; 42.114j/!L // Prr..�l� Iwra 0
1 r. _O ❑ O
"Sr".
LE t r p K� ❑° Owl
FEES COLLECTED
..w0,
174.ep7 0•'1Nv Ifel Mw ...MI 00,M0.0I7N .0.00.1bn am, fume req Me 'NOTICE' PrpvlNp.• Incl Wb
sem.. Yd. and •p+ i7. 000.4 0 b true .+0 corr.. AR 7.001.1001 07 Mr. e+7. 7.01num. ywrnlp 101. Pm 01
...be o ARART .101 .R.Rler ..0117.E front 0 0. Tn• orNllp M e 00,047 pen 001 wasp/Pob Owe Ae.
W 011y b e14oH r cM.Ce1 Irmo 0rer1.10n. M MY 05A. Bo. 7.10r•1 lore rput.11p c07.truc110n > In. prform..co
M 000.1.eeu, SEE REVERSE Lipj TOR RE' 0* EOINSPECTIONS
SIONATI/IE M
OWNER OR AGENT
APRICATlO0 _,/—C,/
DATE i
SPECIAL APPROvLS
em•n+ •w.. rm.
4- mew
rv.m.
Bermr
lonem
100.
SPECIAL CONDITIONS: (SEE REVERSE SIDE OR NOTICE)
•eO.re+•
Or.. O•.erl
TOTAL S N7-
-OEJ0.71TAuTABE
G4• •2U50
2CSOt
•1.01)
O
12667
02-14-86
2 6479
r.
•
OWNER
INSPECTION RECORD
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS: