1984, 01-18 Permit: 83B-170 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR TYPE OF WORK
NSEW
SET BACKS
FINAL INSPECTION:
DATE REMARKS:
t - /e' FY S.47 -(,e,"
jai N NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 611 JEFFERSON I SPOKANE. WASHINGTON 99200 1 15091 4,6.3075
APPLICANT COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
2.
cv Nlr� t
•
PARCEL N0.
LEO -.1.7f. ESCRIPTION:
•rc INGA00e6S5
INJ4 SrL
Iso
CONTRACTOR 4 14-16,
�VCEN
RE
CN
Toe 0
❑R.'a
S
PEMPr.sa
o.•NOE OF NSE HO••
8
TO
Com PM
TYPE 2F5EW 0 ALT. 0 AO'N. 0 RPL. 0 M0E.
1. OF 0 OTHER
WORK 0 SLID. 0 PCMB. MECN. 0 M.N. O POOL8.
LS SE K 4.1.7.
1LIT. I.MMF O
ENAD
Flmem
wrN.
V•10 Nor MPk.O
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4O
Named Poem]0.0 M.
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I naraNy oMlly Mal I have road and .4aminSd MC &Pollution end nave read the 'NOTICE' Provlslon. Included on
revers* s.•, and &nor Ina sem• to Co true and correct. All Provisions of Taws and ordinances governing Int. lype PI
.oro wM W comd1w .11n .names •DacJIIW n.Nn or not. Tna granting of • permit ones not Presume to SC. Au-
norlty m v1041• or cant Ina P cola... of any oln4r slats or local law regulating con•tructlon or Ino parformanu
orconR5cotlon. SEE R' - R5E510E FO- REOUIRE. INSPECTIONS
SIGNATURE OFADATE y—I
PPLICATION //0/^/ 0 rS
OWNER OR AGENT .� A 1^� (
SPECIAL APPROVALS
fv
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
M �m/
FEES COLLECTEO
mums.
Omit
OM, Ccent
TOTAL S •2
PERMITNUM8EA
X35-1'70
04• • 19.00
•19005
A •DOC 9
1695
10-10-83
z 6479