1985, 03-12 Permit 84A-2700 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION: S - 0
DATE
(7-(,)-S5
REMARKS:
PLAN NUMBER
APPLICATION/PERMIT
SPOKANECOUNTY — DEPARTMENT OF BUILDING & SAFETY
NONTN.11 JEFFERSON / IPOKANE. WAININOTON MYJl0 / (SO/l ES/ -WI
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARO TO MAKE 3 COPIES
E*�FEi E4
2. I
3. o« ",a,f a 44>s5:�
W0.0.
•—PO ! • 3707
CENWE.
5.
>.unE 0, WCrno..
a.
I YL5-�
n.WE
�loJ-
'ro
L
PARCEL NO.
LEGAL DESCRIPTION:
I~
•.D•mr.
Meal Sal rwrw0*
i
I �.w•' r w= Oft •°D�•Ay�
IRo ..,.. Vol* 1 TM..*., �,a.••
.� IL.P _. I0_/ 4
TYPE ONEW
T. OF O BLO.
WORK
a.
SPECIAL APPROVALS
/!well rn.4 —
fm•.r.Ee�
1.411141.
if P
O.
oE.unN: WCAM
0 ALT. O AWN. O RIL. O MVE.
❑ PLMB. `I MECH. 0 M.M. O POOL
0 OTHER
�lSde �E-.rt.
tlwd I:�
OJAI
IMO. Room
F.t.._.•.. 11,•k......
Mn�vF�rp.. wn`UPI ae 0 Moo
P.M. 1.0 M.D
r.0 Apr,. 0
r»
1 MrMyoMR1 M.11 Man r..d .M.../mn.d His .0PI4.l ton and haw real 1M. •NOTICE• pravlelon. Induct..] on
mono .W.. and know IM ..m. to O. Irao end corr.cl. All prwMlm0 of I.w..rrd oedlnurco. I/ovwn100 tell. lyp. of
work W S I» co.np0Md wart .Mays .:.Waal honks or 0pl. TM (ANION" of • partial do.. not pr..um. to Win au -
Mortis N vbl.tis or cancel tM prorl.lon. 01 .rrr other .t.t• oe loco! law r.0u1.Wq oon.lructyn or tM p.rform.nu
of construction. SEE REVERSE SIDE FORnR�IE011MED INSPECTIONS
tIGNATURE OF l/q/ (1- i !1P APPLICATION s
OWWERORAGENT f •1/.(a* C<AL1 GATE
SPECIAL COMt*T10M1: (SEE REVERSE 610E FOR NOTICE)
/Gb, a-)ro.I
la wing.
Nab
1.0. wane 0
FEES COLLECTED
KKR 0/140
P...Owa
.V4
On. P "" —
TOTAL t
PERMITNUMBER
FAA - 2700
04• •2000
•20000
A •000 "
269.90
03-29-04
44 6479