1983, 11-15 Permit 83B-0508 Inspect3. !-3NCqCJ
ryo>t �")/•' LKiWEFAHREE
°ifr�I�I
991��
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 111 JEFFERSON / SPOKANE. W ASHINGTON .a3S0 / (Nell a543S75
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
10.1 t AOORE7EE
1. . Ioo�K .14 SC.j
ci4 J
PARCEL NO. I6544- _rj,36, "3
LEGAL DESCRIPTION:
FtRMITNUMREA
c:
PHONE
,.-,AER
1 T11�110nEY� • P..�.,2���
Er1
a.nr�. I 7
JON
Nano 4-81—�-
ioox 14-I
Dv. aw..•a.
S. vN,.1N.
AOYFM
l0x100.10
3C �4
PHONE
ZIP
• E. .1C9e. -.c. J C'F. "
PPONA
TYPE EiNEW B'ALT. D AD'N. 0 RPL. 0 MVE.
7. OF � OOTHER
ZeLO. '7 PLMR. ❑ MECH. C M.H. ❑ POOL
EN(� eaA.4E
8. ArtEE
6.7
RE� I f�
PINVATE O EEWEN
V
ToW sane. •.Nanaa
TSwb IJpaNFIwN
ONw Oct
Abc D MwN
H15,w�. cr o
I Mreoy certify 11.M I have reed end eurnlwd Ifda appllctien and hove read the •NOTICE' previeions Included on
revere. sM., and know tha urns 0 b hue eel asrece. All provision. of Iowa and ordinances governing this type of
..ortt wM b oMnp.Nd with enema, •peciNea harem or not. Tha granting of a grml does not presume to give au•
tNovlty N `Adele or cancel the oro•Aak..a of any Whet stale or 1041 law regulating con.lructlon or the grlorm.nce
el consbection. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF 4./ f ', / 1 APPLICATION /
OWNER OR AGENT /•' iz+^ OATE Zl ib/�G�
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
µ aIE
�E
Ferree
DIM
NetbUaiteR5 kUr-WW1 tovr{�o
1101, A ecz a.Rw Aleo,,sce � a2�.CE .40J9 .goc�a,✓ e�
i147 "GC- �S11K6 5FETi ��' '40'0•C'ipr o"✓
AaaNea D
FEES COLLECTED
OTAL i
tR:+
E.Sca
•�'
.:3' I
ba 0.5.1,bwronl� InIME+.wneX
No. 1.o0 0.Nmp.
tJ.cn
0,1111,1E•.M. j.a O WO Mnb
vw❑ WO
ewe PaguNea
1.0 N. Appik.D
INSPECTION CORD
ADDRESS
DATE
/(--/> :3
/0.414)
'-T
—i/—rv2� t�s r�dr''✓ -