1984, 04-19 Permit: 84A-2934 Inspect r-
INSPECTION RECORD
ADDRESS
DATE ;air P. 1
—
IPLAH NUMBER J APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY 64-A- `"1 I
NDRTN ill JER FERMI/1 ROOK ANE.W ASNINDTON MN I ISROI000.5071
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
_I: D
S)PLET AOPLEE FARGEL N0.
I. a II ZZ S r
3 ."-, -33 rte.-outs
tot raw+ A LEGAL DESCNIPTION, a
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T. OF 3 LD. C PLMB.C MEGH. ❑M.H. ❑POOL 0 OTHER .a ansa. N� ••r^+�'
WORK av�.a l ,.., r peri — t•.
Sh al N E Ran MW�.EI!j `\
SOLFRCE Gab ELECTRIC ...SEA sE,!e Dusk 0P FEES COLLECTED
9. v.Lu..I», vT�$:rEs ::°a iE..E ❑PRnNt,✓
I n...oy ae.wy mat I Kant rowel nod..amin.d this application and hue.road Ina•NOTICE'DroTiLIon.IRcludad On V
r vide.and know me same to a true and correct.All provisions of laws one ord...gov.Ndng cols type of Il.xap
ls'q. cA0
rock will Decomoll.d perm whether Specified herein w not.T.granting of.p.rfIt does not presume to give au-
nerity to AWL.or cancel Ih.provisions of why Diner or lout taw regulating construction or Inv Perlormanu
IcOnsIrlaCtiOn GNATURE OF EER ERSE S FOR REQUIRED INSPECTIONS APPLICATION Rvrnialp
OWNENOR OCENT KLKLr7—/ T'''''' y�� v.
DATE �—L/—" M.qr. L
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
Ran Oen
PRELIM,FINAL DATE
Er..•avin
t ECIC]i/rf 6E.
ro asd.Han.
Caner PDARPar.rl — W (...
unma TOTAL S'SaCC)
SED.
' WHEN MACHINE VALIDATED IN THIS SPACE.
DAN ` -:'4/ PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.