1983, 12-29 Permit 83A-3652 Inspect)DRESS
INSPECTION RECORD
RFtii !ARKS
PLAN Nl1MEER
7.
t.
• L
c0.r..Cr
APPLICATION/PERMIT
SPOKANE COUNTY— DEPARTMENT OF BUILDING & SAFETY
NORTH S11 JEFFERSON / SPOKANE, WASNINOTON MTK l ISM 454NTS
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Oa- 2-)
tra_zor
I
G-1
• 77 - .- s•
PARCEL NO.
low
N.•. Par Is..
pwat a .wl Pao.
E.
Ow INA
...w wPOT .w Tr. N.r..
DTA Or MOW,.
Yrrn.- r. w1.•.r.r•.
Po
TYPE NEW 0 ALT. 0 AO'N. 17.. 0 SAVE. p OTHER or �Or.� ,
'• WORK p lLD. O P1.UL 0 MECH.H. O POOL
ppo.. ��' �e pyyr1W.11.rr/
E. O`1/iOX I } / W'"1 FJ ( 7P irrt'AtS yoh3
y I O
nor Ilwahocs I — C"' , R1 1cw NI0..
M' I RM.O nN.N
-- NnlmO Iota InUVOW on
1..N0T artll, in., I N... road NO.rNttnal NN .pplhatlpl. and M.. lons al low. ad Y 'NOTE I Oho typ. N
Hon.•.W. M0 R .NNMr .O.Nl*•A heroin or not. . Alt 1M or.ntl q 0(. Form1100M rM WMNM b OM Nf
w� .III . caw.. or anneal . N MY NON 0t.1. 0r but I.r r0yuN0Nq .RnMn.l.110n o 1M p.rbrmNK.
poray or v.INNI`}jEE Ethe pre.t yP RR Ohl E 1NSPE I N
WNA0 OP TIFE AATLEICATION�51..,../
SPECIAL APPROVALS
SPEC/AL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
wnw. PO. a
INv/+ Y.D ARC
trer.* .r0 ARO
Immo . D
FEET COLLECTED
name
PM...
it r- 5
Row RP.RH
TOTAL S v
PERMIT NUMBER—.
07. •5f.0G
•5000C
A .Li.0 5
3C51!
G5-0A-PS
A47S
WHEN MACHINE VALIDATED IN THIS SPACE.