1983, 04-01 Permit: 83A-2514 Inspection CardThSPECTICN RECORD
ADDRESS
DATE
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REMARKS
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IVLAN Nt,MPEN
APPLICATION /PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 511 JEFFERSON / SPOKANE, WASHINGTON Nfld / (l0l) 46!.11)5
STREET ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1 NLK
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3 D,E.K 4 S444.4A1 Ru N54ow
HAWING &CEA ESA
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LENTRACT.
4 SAn
1 L10ENw ERn.EE
PHONE
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40.2ac._
PRONE
PARCEL NO.
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4 w.4d It ION: .u.o. 4LOT7 DLACZ2.
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BE,K. =Z GKE,NESO• RMTCIEI4S 0.00,
OEVONER
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ADORELS
S 311 Fot2.
CRAPE OF SAE FROM
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TYPE 0 NEW 0 ALT. G AW N. 0 APL,
7. OF
WORK "La 01.1.14113. 0 MECH. 0 AIM
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1 ner.0y 001117 Mat 10.ve 1.00 and examined 1n1. *Polk -elan and have read 1M •NOTICE• povlelons Included on
sa
tenor. aide, and know IM me to be Hue cars.. car.. All povl.lon. of laws and ordinances governing thls type of
wk will be compiled aim 00.110., specified N.I. OT Rol. Tn* granting of • permit does not pesums 10 give au.
mplry to vlol.ra or cancel *he provl.lon. 00 any olne. Male or local law regulating cons. 1len a IM performance
el construction. SEE REVE SIDE FOR 0E001 E INSPE )ION]
SIGNATURE OF APPLICATIO
OWNER OR AGELLE �n DATEt —?n ���
SPECIAL APP ROVA 1 SPECIAL CONDITION]: (SEE REVERSE SIDE FOR NOTICE)
PRELNA. EPP OP SE
IN
EN•_
TFa•
A-1 '1344
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AN0 VOID IF WORK HAS NOT COMMENCED
IN MOATS
FEES COLLECTED
. . i 1.50.m
M6e
SEPA
cow 00.4.1
TOTAL ] Im
ERMIT NUM
EkR
83F+-Z514
02. •13800
•17,8005
8
**COG
251.32
04 -01 -83
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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