1984, 02-14 Permit: 84A-1169 Inspect INSPECTION RECORD ,
ADDRESS
1
DATE REMARKS 4111P, _
c=3-- ry . Cyt %i
a:u uDuu€R
r
I APPLICATION/PERMIT (°Fn�amm�TaFn - '
SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY If54A-—ii b'
NORTH III JEFFERSON/SPOKANE.WASHINGTON OWN./WSM).SANil
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES •
• PARCEL NO.
r..Sir ,C<c ss I3L A. ---,.2R CYO/ I
'OT---r 116[w�CSOiv.5S6n LEGAL OES RIP N!S(Cla CV OG CV,,V SVE,
•
7. "a. N.I2Y' i exc.-v..emct r..I
.' ',One .HONE
n-nr,,G-, 4zA--CAZ17 ZIP �a,.:rRd.AS In Few N.
t.'OD,..1 ,,,ICI.‘4.-.-.4 CY A4zLG w«,'L."leeen.�Le' .e.135. I
r.ACToaIEiCEneEEnron{ Podia �.w.P�.INn I am
. Czrr., ,4,-....--.., ZIP .c... y .>Ie.wa
7,. .�'u n Ori DIN O.N.O.
XS/4eLo PHONE ��•'•�..Y•aa I��Owe0� �TAPNOR o �_
S. EI. '2lp Coo .m.. r> a1.�
.pi,.EeS 643 �7138 I LC,• •i';-"t,L'
`0..,.c,o USE,.w roOaa 1Unvblit Fm.s`R�. rI OMNI.*_6. l ......... �ep
°°'
c nm1•
TYPE KNEW 0 ALT. ❑AD'N. O RPL. D MVE. D OTHER 2;-„,
4reT0 No
0 7. OFORK ✓BIOO.PMB.0 MECH. 0 M.H. 0 POOL xProI. RvA.es el] ND
WN NO Ham. M .a ISJ
CR C..ef won.
KN7E 11 eS ...C*aio ^En P^O�/ nleuc FEES COLLECTED
9. •�o•. IDrKiflEsl .RI:'i� sivia❑ D«r..d
I n...oy ce.Ufv In.l I haw reed and e.amined ISIS aTPllullon and have reed the•NOTICE•prdvIsIona Included on
and know m.Same to be true and cdrrect.All provisions of lave and ordinance.dovernlno IT0 type of SPOO 19R-C
cpcnPiled with v epecuied h not.The granting of a permit does not presume fe die•.u-
p. 'i..tete e.nencei tn.whether of any other Hate Or local law regulating construct on of the parmTIE:
e
of cert vclioo SEE R7SE SIDE FOP REQUIRED INSPECTIONS )..''',yJa-,. .
OWNED OR eGEr'�/�' '- •a •. -- -
SPECIAL APPROVALS SPECIAL CONDITION'S:ISEE REVERSE SIDE FOR NOTICE)
AL 04,4
I,1.1.1
SwF o% .Ere
I„e.r R:.w.I
v I TOTAL i VlS-O'-'
R.. 1WHEN MACHINE VALIDATED IN THIS SPACE.
yI — PERMIT IS NONTRANSFERABLE THIS O ECOMES A PERMIT.
...• liir.IL,(- '// Y PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED r n i ie• r I.