1983, 01-25 Permit: 82A-3961 Inspect INSPECTION RECORD
•
OWNER :.7CATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
J I ,yam_ 6.77C Vic,d#
R C ii‘; L_ zca y
N S 1)10462-7-(1
T
4Oj .
lJ- T -- APPLICATION/PERMITit
n PE«B=NE""...3q,i
SPOKANE COUNTY—BUILDING CODES DEPARTMENT �7
NORTH•tt JEFFERSON F SPOKANE.WASNINGTON wxo i ISM•Edaeta
APPLICANT:COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES ;i6• •1C
JOS AtwO
AEsa -1'k. LEG/.'_DESCRIPTION-SEE ATTACHED •I900 Q00 .
Pw c .NUMBER/3 •1 900@
g. A •
•COO
EA 4-Y�-�4
y�S�CNN`SOWNER
Actual SAE M /P1011
w 3960A
ADDRESS tq -ToOgn• - - Rack.
n.cNwto.ton OS-20-8'2
4•
CONTRACTOR• \ - Shea of PH.,
s 61179
•, RESS nP TTP•cen« 1 c'•eanc OR. On.v�ElR .
_. L^£ PHONE V Mueonn QIP.Area SA.Ft.
a
oESIGNER
5. ADDRESS ZIP Main Flo. 1 Vown r Gun. I Shwa.. _
Of VSE PROta IT. al I FIn,0 0 R._nN tIIT Vann.e•Nn~nt
S. [711 CHANGE EE.w. Ns e•.na n.stwH >wr.........".
7. '7' O D'.'A WIPES.. D G D RDOL 0 OTHER CERTIFICATE TE a R•aa. I,0.00 T.ol N•a'a.
RR of EXEMPTION
DEsCRME NOww
Enn 000. 1Leutwn lM«
I FEES COLLECTED
,IL k() C' K� l EcooE^9 oP:1 OAS LECTRC SEWER n•ranP
CITIES
NN OWN.*ODAM S
I hemhy carntV dOt 4 heve mad and...Rind this pollution and have read the"NOTICE"provisions included -
ide.and know the same to he no.and Correct All provisions of laws and ordinances governing this k.ga.N
ty• Q wk eA be complied with whether specified herein or not.TN granting of•penis does not presun1
i;,--.,....—W m Tidam or cancel the provisions of any other amu on local law ragllating constnictiOR or the R�Ins
pnto.m•m nof construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS /.�./
SIGNATURE OF APPLICANT 42iJE'1Fl�J ///t/L/F+.- Mrl..
=ATEOF IALANNION 7--EC--
>EQLLatmtOVAL SPECIAL CONDITIONS.,-->• TMan Pim Cmck
NAME DATE t
ay.cloa IP
M N
'Hon MOWN Meme
• a Otnw ISPsiITI
vuum.� TOTAL S L9 a0