1983, 07-12 Permit: 83A-5360 Inspection CardPLAN NUMBER
AI'I'LIC.A 1 IO 4/ I'.HM11
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
1406TH 1111 JEFFERSON / SPOKANE, WASHINGTON 012104(1011410-3(11
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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LEGAL DESCRIPTION:
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WORK
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.re .111 W 0.0,911.4 with wMl0er pacified 0r.ln ar net. TM 0rr.thq of • perm* doe. not Mow.. b 0th e0.
9.Hy 10.1041. or camel the provl.lom of any cow H.1..0 100.1 tow 1.0u411p 10.•0RG.1 or the 94.1.00rwe
M oor0w0t04n. REV R1E SID .R RE' I RE. INSPECTI.N
SIGNATURE Of APPLICATION / � /� P}
OWNER OR AGENT /A _. Per DATE �P ! �V
SPECIAL APPROVALS
SPEC L CONDITIONS: ISEE REVERSE SIDE FOR NOTICE)
- Maµfr� ust,1,tssr
- l Pt 1M 7
50. 70 IkSQ _MOAI-
< 'k t c OF 6,Ct \.9),
, .1 CI /ERMR I1 NONTRANSFERABLE
A..
11E10
FEES COLLECTED
FewY.
Mew..
DT"
WM 1.w
�-
TOTAL Ste.
B���yS3GEc7
02• •1`,600
-11 -Q3
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ADDRESS
DAZE
9-42-53
>> - 5-Y
P�iSPECTIOri RECORE
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