1984, 05-21 Permit: 84A-3225 Inspect INSPECTION RECORD
OWNER LR'CATION
CONTRACTOR TYPE OF WORK / „
N S E W FINAL INSPECTION: 4---P/-cc/
SET BACKS
DATE REMARKS:
Ithted /n 5gi t/11 7/,./ 3C/2 641.,E
(p /0,9z-i, eliv,� l c0 GLeo
ll
PIAN I/UMOER APPLICATION/PERMIT PERMIT NUMSEP
SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY I MA -32 z�
NORTH Slt JEFFERSON/SPOKANE,WASHINGTON SSM I I/M)a33-SFI3
•
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES y T
STREET aDMEJ. -PANCEL NO.
I. N. 422 SerEtot Rd. ' / /.
LOr I DLO. I w3bv:Yw+ LEGAL DESCRIPTION:
2.
7•
Ruth mamas ASICAS.3 t 1927-0178 s,. ...........ala 4;:
N. 422 Sargent Rd. 99206 Issas E...ls..r IS..... p
Valley
1 1/ER..E3 P.rr.w o....cfafl LD• •r
4 Valley Firoolane 1 1/145 922-2780 w
��6610 Sprago Ave, Veradale,WA 99037 r.• Ie..on.. Dv.lot+ OP...
0"
MUG.E. arrow. .a.fb..v.wlm ow.,.. Ise.sae..:.N.
S. Contr. Lioenee#VALL2'-177CG I..�.� [s
.PP.EM Tie ....N� ups.PS I°...,N... Idr..a..
ass..OP use NOM ITo - O..m J 1.. ..o.a �r..r.... it...
t In.E em.
N.
I
I
TYPE C NEW ❑ALT. ❑P.O.W. IVE. . .P..P..D'N. ❑PPL. ❑ VE.
7. O O OTHER
O OLD. O PLIAS .N
.O MECH. 0 M . D POOL
RK 1- E.... I .war. v.0 .0 l..a.
.TO N.O '±
OElal.Eaa.. Installation of LC?1FL Insert e.sO lPS OlOa�� N.. 0„.1•°00
8' rnto O a tin,1'1•ai enn. ...
�A Ow. FEES COLLECTED
.112
9. vuwTn. 1,0, I ou Ecrlac P.iv.rEO� Orwin w..rD .."..`
I neaoy w111y that I naw rase and.rammed on.aopllutlon and have.0se PH•NOTICE'Provisions Insiud.d on �4�
were.sq..and tno.In.same to M trw and=erect All...ono of laws and 0,010.nca.pawning IIsi lyre of a/NV
.ort.IRM 5.09100 with who..speciosa train a not.Tn.prantlnp of•Permit do..not Presume to PM So. 1
amnty to.bf....,=Anal The Provision.of any HOOP slat.a Total lar r 041.11np construclion a ma portOPIn0 0.
MoNATURE .SEE PEVEMS`SIDE fOflaE0U1 NSPECTIONS GATE 7/ /� N•°'- =1� ,�
SIGNATURE OF //Tr,r{^{^ .�/?' APPLICATION // e
OWNER OR AGENT
SPECIAL APPROVALS/ SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE) n.n 17d
moms.PmAL DATE
E..lrl.
sEPA
R.••a
-Al-.
0.
O
�� How aodlr'i�_
DA. -2 e Cr_
_ TOTAL I`_
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