1983, 09-23 Permit: 83A-7568 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR , TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
9-23-6-3 &a/2 1��`.g
1
IP N ANUMBER APPLICATION/PERMIT PERMIT HUMBER
I SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY 153A -756ej
NORTH Stt JEFFERSON/SPOKANE,WASHINGTON M260/(5051454.3975 •
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES 4
04• •1600
1. STREETAOME56 1016' 6.7^` PARCELNO. •1400.S
7
• •
c ue nvl I LEGAL DESCRIPTION: A •000 B w.NE«CheOQWo4 Ph] IP »
/ •a PHONE 7567
3- / 08-10-81
uallara.pw.ss a Jewsgado i.F•1•
,
54.4e. •=-2_0G 1e.w I— 4 6479. i
cgwSN VO9 Es Swa Pan ly.Or.l...1
�. ,/ fa ,A/✓Fps°va It -P`l R ...SwF
D
A.1A55 M. 2.o - �•�. O7.'`Cite 1.Ong,.
E 1c� 0 }S74�I
pLNd.KR N.O. ...0.1.Yaw. lRw,wew.,v«wan Tow Wag. ....
5. Own.a SEFa gZn awn P� ll�F� 1pwq,N«awl l.untie..«.l
Q. TYPE 0 NEW 0 ALT. 0 AD'S. 0 RPL. 0 MVE. p'tl"'a ")°'fay. �he Fin.Pm. Sro.O�«rv.
7. OF0 OTHER Num.0 BLD. 0 PLMR.O MECH. 0 M.N. 0 POOL vv«vo l mowed O .0
fawn. WO
u.E.o. "wawa, Pa.'
a. .�DceLSI/ E/- _r/ V"itrr&?C . WAwAO I. o
OF O gAn-- MFEES COLLECTED TED
9. D EWERO
M...NOwW1..
1 hereby wtlly that t nave read and e.amined Ohs MIBIcehon and have rued Me'NOTICE'provisions Included on
c(9 averse side,and know the same to be true and caned.All provisions of laws and ordinances Governing this type of
orx ww d tsNhplHd with whether.1.Clned herein m not.The Grantln0 of a permit do.not presume to give au- 6j1p1np
Of coy.,violate uncal the SIDE
of any other state or local law vaginating construction or the Perlormancs
el...KB..SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Hunk°
QGNATURE 0 .7�-e.�/J f' APPLICATION (/ r/O'+ ���
OWNEF OF AGENT - - —[� T. DATE O'Y�i.J M.n.
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
R•nG«,,
MEL D.TE
a4F.
rvn•N -.. We.,
''''r:*.5 ue+. ==:
7 •
Caw Raw,ht LL
•S to«u. ... TOTAL S 167`1
PA -- pr'WIT IS NONTPANSFERA6LE WHEN MACHINE VALIDATED IN THIS SPACE,