1983, 09-14 Permit: 83A-8122 Inspect T
PLAN NUMBER APPLICATION/PERMITPERM IT NUMBER
SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY I 831. '9\ZZ J
WORTH Ht AdefEnnON/SPOKANE,WASHINGTON MOO I(tORI MISSSTS
APPLICANT:COMPLETE NUMBERED SPACES—PRESS MARC TO MAKES COPIES
SIIE[T AMMO
PARCEL NO. 1 Od• •IBOOT. A /a2iith111r Aid-iK nlltJagwsnowman
LOT I LEGAL DESCRIPTION! •19008
t' A •000 3
ray.•
p� aflfQ(fRel L ui,t �L51r S"�$ _ 8121 7.M.ItrelMO•EY car Aa.I Se ra.Nr..r 08-2A-83
4), a/IUS", Fury 49aa{ NBR IMO II...
mn f�Ae.lT2c� .SI�U'r�I M' 3 7333 srR.� cr,' I =a 8 6470
Owwwow
am"' E.415o�t9.Tr/ir 9Vaa'4.
DA I OV. Oto Cowed.
• usy.etr MON. r.r.OM.V.Rrrl IRn_Wae WA* ITold we.rr w..
S• PP ....R.. jw� yr.
Igeq.rw.s a.Rae.
et.Ng[drlrr MOM m e loan .ore r.....—.P. 1( m. I{I
B. r Mar t1.( Rts, oon Prier.. Orn,
TYPE Stit NEW G ALT. 0 AD'N. ORP.. 0 WE. l
T. OE 0 O10. 0 M.S.0 MECH. 0 M.H. O POOL 0 OTHER Frs,l Annek. Rglne v�0 1N0 Weep
I_P*. T_D�mi I
9, p��/ I1p e..nwrr.r.N.�. Rgrrn 0
u ��NnlrttA ` ���_PR vie O tE IG G ....... AOILL D
B. Opae Irk*0 FEES COLLECTED
I Mroey ER11T that I law road and eaanMtl RI.ppIIatlon and have read the'NOTICE'prwialon.Indud.d on
nwrea id•.end know the.arta le W Nva end Pined.All Pavulon.of lows and ordinance.BovornIng this type el
owe Mil be 001111died MTh whether specified herrn or net.The granting d•p.rmll do.net peownot lo PM au- .".'p
S(4, ,
i.e.ty In dolt.or canis Ma previsions M any Whet hole or local is..regulating eondrudbn of tM pptornence
dooeNuctien.SEE REVERSE OO FORREOUIRED INSPECTIONS pipeya _
SIGNATURE OF ply/Q,,: APPLICATION C�/� 3 �
OWNER OR AGENT Y/�•-OJ4F'-+ GATE Pg–� Mn. ^
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
or sum Mom JJATE r
\11/? !T/LSV// V P . 1:1`./li( 7`6 Wad
Pt.a+Y a rMA hem L///
M.AYI F
A. Me.
lG.Me
SPS IA.r Sr.eM_ V
-
SpA TOTAL S/"oW yf.
WHEN MACNI NE VALIDATED IN THIS SPACE.
. �
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPEC(ION: !-23 ES S
SET BACKS
DATE REMARKS:
CCW st
4) 614 / Cf[k w
c‘Q.�kti y/
1-23 - 55 / 54-A7;;,--1-7 r� �l� . 4e