1984, 05-21 Permit 83A-9968 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: 3 -/
DATE r�
3 62 -'-(
REMARKS:
c - to- �rAr� ,
PLAN NUMBER
APPLICATION/PERMIT :SI°
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
.J,�,LI.�
NORTH 111 JEFFERSON / SPOKANE, W ASHINGTON PP260 / ISO) asb16)6
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
ST•EET*M.S. F' p
1��,f1w�y ,O iO.. �/../ct✓
i0T I Fiau `I w-SW,1&w
i.
OWNER
CONTRACT. KC.Ef E.FREI
4. /;r//6
13
'172 y 1C/
LElIpr FR
5. . .v
aA�Ep.USEM1r
6__ .r
/PE 0 NEW p9,LT. 0 AD'N. ❑ RPL.
T.
WORK 0 BLO. 0 PLUS. 0 MECH. 0 M.M.
PARCEL NO.
LEGAL DESCRIPTION:
VP
.72G-r-6a7
f9r,7♦
PNWE
lava. IS•imin Fool Y.
.way I.. )""" m�..•+ri$
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Pow
a.nnw.dE .40. 1 Revd I.m* T.o .0
MCA.wvrM (.(�C ,deo ndn' bw,.tNma M.da
6WO
. �:, it,l n 1' i _Q1 :0 M....0
VALUATION SOgcRORr
lc o
I ..r.OT wrllly Ion 1 M.. r..0 .11d...min.d IN10 application and Mv. rod I0. •NOTICE• provl.lon. Inclu0.0 on
now. Nolo, and know In. ..m. to M Irw end correct. All p.ovl.lon. al Iowo mad allow.. pw.rnlnp 1R4 IEp. of
•o.M .111 b. compll d .lire wMl6r .p.cNMd NMIn or npl To. or.nllnp o1 a pnmN 0oom not pr.wm* la plw .u-
Inn11y Ip.W.1. OR 1n0M INe pro.l.bo pl any Mon Mato or local law rpu141109 oonM,&Mbn or INa pnlprm.no.
of con.truMlon. SEE REVERSE 11DE FOR AEOU IREp INSPECTIONS
0 MOE.
O POOL
0 OTHER
OF
OWNER OPSIGNATUREAGENirC'Py� /fq V�Q(fsti DATE�TION-,z0.� F'J
SPECIAL APPROVALS SPECIAL CONDITIONS: {SEE REVERSE SIDE FOR NOTICE)
..EtIY, Pn. L CATE
E .F.ns
f-:'G`A1,% fir/
N.. l.nw.a 0
Am..eD
FEES COLLECTED
Svct•O
M D.Y
.ERA
S.AMI
WO. Mc.
as
TOTAL i/�
PERMIT NUMBER
B,A - yj�g
:4• •1ACC.
•16000
A •L:1
6476
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