1983, 12-19 Permit 83B-2254 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W
SET BACKS
FINAL INSPECTION: i
DATE REMARKS:
/Lif-cr3 Ade.",
mad / l2-,a
-� (S?C-�, ,/ G26ti( te-6
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH .11 JEFFERSON / SPOKANE, W ASHINGTON'S-'SO / (60/) a6E-0875
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3COPIS
.taEET ADOPEu
E. .,3
Lor
2.
rz[�r
.Lou .O.134.40.
ow FP
/4n J[N..i
Am..° AOroESS
5/9 n^
�.a.ETdP IL1�F E.
Ness in'rJ,,rsF:r• y,..r /��3r.3'
,' AOOaEss
9?2,4
9.E -/I Pj
LY'J 2CIb
PARCEL N0.
LEGAL DESCRIPTION:
I
N.dl...l Lorraa.ml.la.
Type Ca.. 019.1fc,
INallo..,..,m.noi
.Rw� as
Gr. al`n•e.
5. Anaepss
PHONE
ZIP
p,AM0E OS USEERd1 Jr0
6.
TYPE A NEW ❑ ALT. 0 AO'N. ❑ RPL. 0 PAVE.
T WORK 0 BLO. 0 PLANS. OECM. D M.M. 0 POOL O OTHER
8. X S °R" .4ru ro.e.vacI f$.l)1
v.Lw ,OM
9.
FLECrPOC
yrl E6
.M�O�v�r�Eo
R.. o...S..1. 1 Total .bp .a Ana
A..Pa 11plawE 0 lA..a/N..a J&,_..a_
Corer Ow.
roc Des FN. Pawn.
Naar Pare JNa. Eed.
vv.I.vd Es.p. I Rga.f r.0 0
wn
IpwrwrYm/ik.11..laret
MM AaP..
denada.
I har.0y cw111T that I have r..d and alamina/ AN .ppllcallon and have read tha'NOTICE' prorl.lpna Included on
revers& fide, and know IN. um. to IN Ir..01 o0rr.c1. All provl.Iona of lawn and ordinance. gov.rnlog (hN type ol
Nod, will be oompll.d.Itn wn.IMr specified Wall or nal. T11. Granting of a permll doe. not pr.aum. to Glue so -
to rolata or unc. Ih. provl.lons of any atM! .gala or lout low rlOulaling conalrucllon or Me p.rlorm.nu
of construction. SEE REVERSE SIDE FOR MEOUIIIEO INSPECTIONS
SIGNATURE OF APPLICATION
OWNER ON AGENT . • �u!' - DATEV IJ-i-B-3
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Mara.; PMu PATE
war Or.rv•
war ...ova 0
ROI..a O
FEES COLLECTED
Md. P.00
Plan
SUP
Modular/
C*0 RP. >)
TOTAL /.°ee
PERMIT NUMBER
04° e1E0C1
<90 08
�204.I
12-GS-8'3
hG7S