1984, 01-17 Permit: 83A-6403 Inspect'►
INSPECTION RECORD
ADDRESS
•
DAZE REMARKS
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jnANNUMaEp APPLICATION/PERMIT PE
ypir�UM8ER
I SPOKANE COUNTY- DEPARTMENT OF BUILDING&SAFETY Y7 iS�
N00711411 JEFFERSON/SPOKANE.WASHINGTON Mp4O/ISM 4540015
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
1. 4 fi• 1OOP534.3 � PARCEL NO. t!4 -
2.10• 116
WV.
LEGAL DESCRIPTION: %y'�-
- O
� atoLJ 'HARE s� P.M.R...MPen.: CO. •2soo
Mh, CFm•E swims
2203
20 1nip* +N m F.. I 5 •25000
_ 674-0 9 X0¢o � KG•• I r"o A .00G 11
4' 5 bin ZIP
01. Orr"Caned 6402f
M4whEa PNIORF *do Conn.Wain. Si*dpr Pon Toldery.se.Sr. 07-12-83
S' aOMIS z. . swr Itt..i moan fswspr 10* = 6 4 7 C
w
aww 00 uaa PPpu 110 oar ow IuS..ow J1am mamma. jaws.wane..
6.
TYPE .a'GEW ❑ALT. 0 AD.N. ❑Rn. O SIVE. w'Ma w.a SO F..Mem I D..ey
7. OFO OTHER
WORN O BLD. ❑PLIAS.O MECH. ❑M.M. BrPPOOL f et F.A.M. I Sigrid Vag) wO wnv
ar.d y.D won
nendnoawf lNNee PP. a.wd0
V•i .re.D laU.05
9. �a�•_11 EP41•4g_ fEatir =^t+• FEES COLLECTED
1 hereby canny that I naw road and @seminal this appINalbn and Mw read the'NOTICE'provisions Included On !7
resew*sae.and 5000 Or.awns to M trw and mewl.All pprNbna 01 Wes and Ordinaro0a Governing this lyO.1 RArrO
soar.mil M was*solln*honer 100cllied twain or not.The grantlnp Ota(Arndt dog not pr@sumr to gaw so.
oily ro rioal.a Certo tw pro.Niwa of any Dino stale or local N*regutaling construction or the p.rferm.nca
rtR.e•0CIten.SEE REVERSE SIDE POP REOUIREO INSPECTIONS 50.00.
SIG1•
OW
NRTUREGP APPLICATION
.T
NER OR AGEN / DATE� i-. assn.
� assn.
SPECIAL APPROVA 'SPECIAL CONDITIONS:REE REVERSE SIDE FQ`.4*O��TIC
PM.,VW, WE N•^CNa.
h..m
{EPA
ems\
MWWf
0. WO.Nerd
dpopP
EEnir� Mad Posanyl 2� u
warm
TOTAL I tt `
saw
- --,,,-, r• WHEN MACHINE VALIDATED IN THIS SPACE.