1983, 03-14 Permit: 83A-1747 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E
TYPE OF WORK
W FINAL INSPECTION:
SET BACKS
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH .11 JEFFERSON / SPOKANE, WASHINGTON / NHS 3E15
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
• 1SUBUIVISIO
LO
dL
• .� NRAEL2P 1Y rr(
p• ly1���1{ _ t
PARCEL NUMBER'S
9aG-ans6
S—Kr-o too
Actual •NH
0N..r P.,w T.,. C..Rre.1„.0
11
Erre Cone. craw,., D... D w a
DESIGNER
RHONE
Vee•IMA Suhelre In ie. FL
F'" ADDRESS
tur
CHANGE OF USE FRO..
" D..EW DALT. DAO...
7, ro.a D.LO. D.Lw. ›.NEc.E
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La..~ Fw..I p.,... ANN
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A._ el Deets LANA. ThHenwel I
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D Moe
D we. 0 OTHER
D FOOL
CERTIFICATE
No.
ERTIFICwTE. SI>N. I NA Room. roe a P.• N.
Of EXEMPTION I}I lac
No. Segni
OE.L.rE.pa.A
Enure. 0.11.
Lout Mn lArm I
g vALI..i3ON� ,L,T,E41 /�
ELECTRIC / w'ATER
atwER Peelle OMNI. 0
NSF CODE
1 hereby certify that I ON. read and examined this .pplic.tion and have read Me 'NOTICE" provision. included
on rererse .i*. and know M. sam o 0e Inn end correct. A11 0,oyi.ion. of laws and ordinances governing dris
type of work .i1 be complied err. whether .pecitied herein or not. Tn. gr.nti0 of 1 permit does not presume
so gr' audrorire to violate or cancel The prwwon of any Other tot. Or Ioa.l Ise, regulating connrvctlon or the
Performance of comtruction. SEE REVERSE SIDE FOR REQUIRED INSPECT (y�NS
W1f.
iMAIIINE Of APp1AN1 --....Q. E O4L'�
SPECIAL AFI".VA" SPECIAL CONOIT:NAME DATE .
FEES COLLECTED
frrh.I•
•ublehn.
k1.P(1
Pte" Chace
TEPA
Mob. Home
Omer ISoehlyl -1
TOTAL f �1%'�
Bi2A
04• •1000
•10006
a •000 8
17661
03-11-83
1 6479.