1983, 09-30 Permit: 83A-9716 Inspect INSPECTION RECORD
OWNER LOCATION
• CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION: •
SET BACKS
DATE REMARKS:
!I�c�5� �A� P Af9 S-/.n-Z (/ �v_��� �J2U� h_41-54,4,
yke-7. i , r �i� eAc P '
��-v9 71757 sit,?e/cf ✓� N
T +s. - 1 :- -41
IpLAN NUMBER l APPLICATION/PERMIT (°ERMITNUMBLR ,
SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY I Ur,a'G'R(..
NORTH III JEFFERSON/SPOKANE,WASHINGTON W3$O/(SOY)4541-3SES
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES ,
STREET ADORES& k 1 .1
PARCEL NO. O4• '2000
1. G .14o T1-'',4T1-'',4 "j l ice/ a2000C I
LOT I 16.16.66,gNdr.
•
» Ntw LEGAL DESCRIPTION:
. i 1 P •CJO @ ..
OwaEA RgNE P.O.
S.V.,T.a I Q?.�-44� .7 1.S P
3."{�oT3G4T4 Ab.I 4110.1.,w •-
ili
C• 4-1 14., n•C.4.4 is N.O P.vl *Luso u W. R.e.,u c� : 6 4 7 9
• EONTR.OTOM ucE.uE E211,ES MSC. 01.1. 'Sl
p.-N
4` L ...C.. (O.P^ b
O. ow OP.,.
•
4
p,0.0a .000 Sow Ea ..un O 000
.
5' SOMAS ZIP ru,PL. W.F... re.IN.Pio I"""""
Onbduw.m
D,..4E Of USE 010••• R..wIIl..11....
.,Ermn ��w.
1,...,xxwm,.
B. I
,N.Os. No.Fm5
TYPE 04EW D ALT. D A.D.N. D RPL D MVE.
7. OF
WORKpELO . MECH. D M.M. D POOL pOTNER d
...yEurp. I Rwr.e vr..0 .....2 —
teC
/
Y
8. yroue ..D , .PaeD D (4/2'
Hyp. IsRLREl '." g""' i 161lag 7m+RD FEES COLLECTED
9. UTmES
I,..,eoy 01X,0 IMt 1 MN,0.4 Sad...,0N Rita app110tlon and have read the'NOTICE'previsions included on
renew Nd.,and Inc.IM ram.Y he WA Mq rYrect.All provision*of laws and ordinance*go anIng tole type of _�
*oA Lulu M complied with whether speed..nor.%or not.TM grantl00 of•permit doe*not presto.le give W-
•
IIRr.lO le...ft or rancor tae prp.l.l.;o M ray NIIWP Mete or local lar regulating cano000I1On Or the peHOman. 140130,
el 0netRRibP.SEE REV SE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF A� /�A./ APPLICATION 9_0 y-J3 Ma
OWNER OR AGENT lit.,/,//="-' v"J DATE ZQ'c.-x7
SPECIAL APPROVAIA SPECIAL CONDITIONS:REE REVERSE SIDE FOR NOTICE) Rw Ora
PM..MSS DATE
W+...rR SEPA
/w
' n..oa Ohs RavaWl
Msr TOTAL S (9:'
-jY
SEr.
WHEN MACHINE VALIDATED IN THIS SPACE.