1982, 11-23 Permit: 82B-1303 Inspect INSPECTION RECORD '
illOWNER LOCATION
110 CONTRACTOR TYPE OF WORK
N SE W FINAL INSPECTION:
SET BACKS
DATE /REMARKS:
/7/Z5/ ._7/ // "/ � � kc
NUMBER APPLICATION/PERMIT PERIartHUMeER `'`
rL H SPOKANE COUNTY— C.PARTML�;iOFBUILDING&SAFETY WVQi`i.-133
NORTH STI JEFFERSON/SPOKANE.WASHINGTON NM/HOPI 451-14/1
•
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
ETMEET A000EN TN PARCEL NO.
1. E. IO4rr12 1\
2. LOT I 14.00., I 1441V5101.I LEGAL DESCRIPTION:
OVMER ...OM[ PHONE
]- p t NlA. ��C.J7<ICC O G17s}q�]s
MAK NO AOOAEN .dJ 4 4.1•41,1 b:
E. 10Co,t., IIT" 9QLca - . -
fIP CAL MnlIo2Y IL'� �`-•�
A m�.wo
Aao4ESS «aE e.HnEa r..o.N.. Mammy
ERI+VI
r 1411 o'IT" 6120-3 r.� I ave 0. 00.04.
OEMONEA 70004 14.Es I.00.0. AAodob V.A. 10.111.34 muw
5. w 1.0 R. Up.non �p.p,Nr�. I b..e..
ou.a=V WE rro- I ro O..O. IY.o NH J .�..
P*,.room :ram SH
6.
N..Pas, W.fin.Morro Nr Nem.
TYPE t/NEW 0 ALT. OAD'N. D RPL. 0 MVS. �yN
1. OF D OTHER
WORK
BLD. ❑PLMB. MECH. CIM.N. ❑POOL pnw��y E..np. I IbwVd rNa eaa Nnn.
r�O
6. WOOD '$LA€-...J( )E.52ETLT baew..a w. lRr.aw.e0
r..l A.oac.❑ O
VLLwTIOR aDlnc[ GAS KECNIIC 7 R lEWA
a .qVA ggwgpO�, 0v""Na I FEES COLLECTED
9. N..nlea �� ^€. Au.D1R...ND
1 twat,earelry 0 5 1 naw read NM alamMad m5 a0011u11p4 and ONO.I..Ina'NOT ICE'provlabna Incl.d.d 07
..err.aid..and lno�.IM.01 10 M true and corracl.All provisions dl Wm and ordln...n governl.p IIs ITp.of SaeaN
.0001 von M 4.1.r d%OM lner.N.IP.cNbd/me*or not.TM granting er a p.rmn do.not preaum.l0 01w So-
R.pdIV 10 Y1N.N er Ranch Ina prIDE FOR of any IRE INS E foul lar ragulatIng.aRMru 1Nn or IM performance
of pgNiruclbn.SEE REVERSE SIDE SEE REVERSE SIDE R IR INSPECTION INSPECTION manmaN
SIGNATUREOf v //.T /`f / APPLICATION p J�
OWNER OR AGENTS A/A Cl �L pATE �'1��I- �Ie�C'O� .wA TE'ZO.00
SPECIAL APPROVALS SPECIAL CONDI ONS:REE REVERSE SIDE FOR NOTICE)
HNAL GATF MONu
t�.Nrw .✓- SEP. _
Ma WI
M.wY
F. AsO..a�N
6V— *405..01171�–
SSSA TOTAL S 24.00
PERMIT IS NONTRAMSFERSOTE WHEN MACHINE VALIDATED IN T1.115 SPACE.