1984, 04-05 Permit: 84A-2779 Inspection CardINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
,r4
DATE REMARKS:
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Pry
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PLAN NUMBER
0.
APPLICATION /PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 511 JEFFERSON / SPOK•NE. WASHINGTON p05O / (SOW .SS.SSYS
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET . CHILI
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PARCEL NO.
LEGAL DESCRIPTION:
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NSW Panai
00X A,A Aff Pe 1KS•JAP. •
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0■■■0E00 USE wow TO
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Henna. wow Two fO..a st>.a. 1d
Ve.• Pock
TYPE $NEW ❑ ALT. ❑ AD.*. ❑ RPL. ❑ /AVE.
OF ORK /❑-DLO. 0 PLMB.)CJAECH. ❑ M.N. ❑ POOL
cesOWE wow
W
D OTHER
Ns. Pan IN.. Yom.
.as.mm. Jw.. Gammon.
v.I.000 a. ..rot. I b noCI
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fog E nE�.� ,, $
rw❑ to Avow
M Re.. 0
..LU.TION
tE
new D P.a. a
• n.rs 0..0.00 e.am0m0 Mb application and haws rea0 eh. •NOTICE• provisions Included on
reverse KO.. .00 know IM Same t0 M true and O arec1. All 000.lal00. of laws and Ordinances goo.rning this type of
.Rrk .r a. complied Wen wtbm.r .0.cilled To.ln o net. The granting 01 . permit dow cot pr.sume b alv..u-
ihoily b riptaN a ultc.l iM prwlatotla 0 .n, obo or local law rpul.lino 000.truc1bn 00 1M perbemance
OI conHrvctbn. SEE REVERSE SIDE FOR PEOUIR ED INSPECTIONS
SIGNATURE OF APPLICATION
OWNED OR AGENT — DATE
SPECIAL APPROVALS SPECIAL C • OITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM MN. DATE
fn ..am
FEES COLLECTED
.DAWN
PRAWN,
Nan lOhee
OtN Rowihl
TOTAL S
PERM T HUMBER
50 - 2711
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