1985, 01-23 Permit: 84A-2910 Inspect INSPECTION RECORD
ADDRESS
DATE REMARKS
/ - 13 s5 �Y ,�/4 � l
!PIAN NUMBER APPLICATION/PERMIT (PERMIT NUMBER '
SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY .-.,,t-I\-Zc-i1b
NORTH It I JEFFERSON/SPOKANE.WASHINGTON W260 11509)454.3515
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
$TDEET ADODESS
N. s`arr 44,...,N,r2 PARCEL NO.
for j xxn I w4 LEGAL DESCRIPTION: EC P 1•,�E
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40
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6. TYPE C/NEW ALT. CflO W. ORPL. ❑MVE. Na S... Foos INC.srn.ROOM. twee. . r
7. wF I PLO. 0 PLN15.0 MECH. 0 M.H. 0 POOL O OTHER .v. f
ORK _ rwD Nod N✓rs
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a' Gr,.[..:/-r.E .Y.t',al•m•l-?C CCH r-Or.w Not mr.,0 Ran ..tlD
E tD 0
vn ufi ELECTRIC SI. fEvrAG� �k
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9. VTirSs GAS ❑ ewEnO Orkr.aw D/ FEES COLLECTED )i/I raoy certify that I nave road and4aaminad this apPlIcallun and naw mad the•NOTICE•provision.Included on
side,and know tns um*to De and Corr .All provision.014inances
Iowa and ord ..tarnlny this type o1
everu Nw corr..
rill M compI1 d with rnNNH specpe
lllad herein or 401.Th.granting 0l a rdossll danot presume to give au- 50wo5 7z),no
thority to violate or cancel It,.provisions of any*MIN.tate or tical law regutatIng construction or IM performance
of construction.SEE=SE FOR/ REQUIRED INSPECTIONS
OWNER
OR AG i'`� APPLICATION Humana •
-
OWNERORAGENTT0(/ < DATE __
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOP NOTICE)
reELrM ym.L Pant at..gad I)
En prn 1��>
R 1rIA SE70
144.1•r.
Ra...r. aro.Nor.
L.S ars.a..0
ti
SO, TOTAL f Zdm t7.
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE.
i.+.1 THIS BECOMES A PERMIT.