1982, 07-08 Permit: 81B-2419 Inspect (
INSPECTION RECORD
OWNER AOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION: 7le
SET SACKS
DATE REMARKS:
/7-e;01-- c feJ vamla_to eth
'I►
L APPLICATION/PERMIT ✓M/,//�'
UAH-
SPOKANE NJEFFERSON POBUILDING CODES DEPARTMENT _� 3 Imo' �') e
COUNTY— -- - P
,ne ADO,Oi APPLICANT. COMPLETE NUMBERED SPACES—PRESS HARD TOT MAKE 3 COPIES as a
7
I 0,' �*__/ LEGAL DESCRIPTION—SEE ATTACHED Ssi
PARCEL NUMa,s
3 if
E `�f�� Z—• -14011,7
•IaOC ,I
Noon
a. o. //r 0 .r,0. IO' ACTOR
„� T•m P.�Ta Soon Ron.a.,,.��uon ast 1 u G G
nil
s. ADOESDRESS
/!'/ ,iiiillill onnn.r. o..�n,.. 0,a SG,n O R, _0
4_ I
I Es
CHANGE OF USE FROM P ®Deo.,noon a Ree A,aa sr 6 h 7
To . cinnn.a e...m,nr Onrin.a,..m•nr
7 OE
WORK ❑OLD. ❑PLMR a5'eMec... ❑Mon. ❑Poo_ O oTNoR o.a.rna rvo.sro.�., rvo.4RRma rvo_OI o..i ne.
INESEMMI
e'i411
uTi/ ao /I�.ii/® anon ®eI R.4 a. �—
N °R ECOOE FEES COLLFCTEO leftc,.,
UTr rz ER s
i hereby earthy that I have read and examined this application and have read the"NOTICE" • 4`
verse side,and know the same and correct.All provisions included S l�
tyneeol work will °et true not.The
Ta laws andfordinances
be complied with whether specilied herein o L The grantin of nes governing this
o give authority t violate or cancel the provisions of an so 9 a Dermic does not presume av'i
performance of construction.SEE REVERSE SIDEE other state Sr local law regulating construction or to s
FOR REQUIRED INSPECTION `
O
Piv,n e
DATE •
OFaP APPLICATION,/ `_
SIGNATURE OAPPLICANT �� / .DO I
/
SPECIAL
NAME 047E 5 ECIAL CONDITIONS. `cn
Ne,nn Plan Check
SEPA
Orner ISEsee.vl
P..,.c..,...... - TOTAL SAE
-...------- tvnfN MACHINE VALIDATED
iNIC BECOMES 4 PERMri. IN LUIS'SPACE
•