1983, 03-03 Permit: 83A-1464 Inspect 7
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
, .. AnAL 1�. Ail .1 .� �.�._�•
r
(PLAN NUMBER
II PERMIT NUMBER
n�1 SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY f eTiIT .-I444'
0/ NORTH all JEFFERSON I SPOKANE,WASHINGTON 55240/(SOP/•54-3575
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
Sr.EET A00.55 PARCEL NO.
1. • •2•CC
S 2 1\T '� G G LEGAL DESCRIPTION:
z_ ` • 5005.
7. I ss M cC1NT)n I o1 Mai
AqW S•ISda(n F.b: OEii. ..
a�24 J �LN1 R EP.,a5f ' 4+11-
21,
�J Se.l1.. 1. ��. m. 1 r.7-G2-P:
a. cosid,i 1^11IS1 �`�u'.E . ""T.v. ,.,.w. E474
'\i/gA .a Ezv7 I o.wa, 1 Cl.Cl.w❑a,
DES.0.e. a..UI.v... Yd.,.. TAH BHP nod A..
s. .DVEaa L. H_Ft 1'°" '
D...IR... ��._P�..
B. odd.. ..D.. I To Ower a. �.H.O.A I P.A.•..nl j L u..e_•.,m,
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TYPE L•IEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. ra uwN fu_.o..
7. �f ❑OTHER ❑ nuns.
ORK C OLD. 0 eLMB.{HELM. C M.N. 0 POOL sv- .wm. 1 R.... ;.❑
(3d Non
pEsc.eE w0. Pvw...7 rune R.. R.. •a❑
B. vALwu'w 610‹��,4� GAS E.E c r.❑ Acre❑ 0
a00.0 CT. ,77,:o 21 � O�aO'".-O FEES COLLECTED
9. ID .Ir.
I f•r•0y[.duty 1M '•a0 and.amin.,fella.0Plbatlon and nava road Ina'NOTICE'P1o.Uron5 Includod on
now.fid•.and Imo.ma um.to W Nva and arr•ct.AD Provisions of lawsand 0(0110nc..90vrning 104 400 01 arrro
.ori,.ill W n
cv44N0.Itn swilled sllled Iw .r•1nog.TA*yarding of a pound do..not Pramm.l0 OH.Ad.
toy...r uncal n.P(0.wona 01 any 011(31 slate or local law'adulating coIllt,.00 a tel.P*,,,,,,...0,cont.Licit..SEE AEv ASE SIDE FOR REGUt1 INSPECTIONS n..M,
SIGNATURE Of J4 'T1 APPLICATION.2IY ,..y
OWNER OR AGENT DATE _. AC.- el
SPECIAL APP`O 0LS/ SPECIAL CONDI}IONS:ISLE REVERSE SIDE FON NO ICC)
r
AN.; FUR4.1AG6( Z.w P1 FSIEJ
1 1N'(I41 . ( era H 9-rl! .E•A
N..S
111 Cl/t6 Nell N d.N....
En. air(..IM1d
u' y
LL
TOTAL S
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