1983, 02-04 Permit: 83A-0852 Inspection CardADDRESS
INSPECTION RECORD
DATE
3 -.3-53
REMARKS
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LPL""NU6IRER I APPLICATION/PERMIT I f PERMIT NUMBER
SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY FEA 'NUMBER
NORTH 871 JEFFERSON I SPOKANE,WASHINGTON NM I(5091454-3•79
APPLICANT;COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
1. Q U atv PARCEL NO.
2, LEGAL DESCRIPTION: , e., ,e -F'tc o' T=I.a
IIy ..I.loo' E.rc..vP.Sn'4 e.n•,.�,o.
OWNES 1...0.4
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IY,o' Fart 47' lw,_
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B. O wSSS USE FRpM �,D OP _ =N ISC;Z1 IA__�°__
TYPE VJ Ew ❑ALT. ❑AD'S. O RN.. ❑MVE. ��— �Ew IJI'°II.
T. OF �LD. C PLMB.❑MECH. ❑M.M. p POOL 0 OTHER �1 w� //
WORK I.ty.Erma. 1 awe: v O awY 0. -C
B. e.Ta..<.O o C.arzFL<,F L[3J_,E3C� ..D�.—Awes o D o �w.a cl/ c (4:;'
9. Y4WT RIMES clam E.G.... r'a ei?[O fcv[�q0 L—_-:,-.. FEES COLLECTED
I hers,,,ur,Ny Ina,1 nave read and s.amlad this.ppllcat bn and have read the•NOTICE•Provisions Included on
rover M
r pd.,a Woe the um*to be If.and were,All Provisions of laws and ordinances governing this type of
will Pe complied edh whether spscltl■d herein or not.The granting of a permit clam al presume to give au- 0 e,-,,,,,,,
Wordy to violate SEE cancel the Provisbns of any o1M w regulating wnslrectlon or the performance
I wnstructbn.SEE REVERS SIDE FOR REQUIRE INSPECTIONS •'w^WN
'SIGNATURE OF /4 APPLICATIO j�r
OWNER OR AGENT f� 4 DATE • 4-•` .l
SPECIAALLL•PPROVALY SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
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Lames
emus TOTAL S E4.;?.
�\:FILE PERMIT IS NONTRANSFERRRLE WHEN MACHINE VALIDATED IN THIS SPACE.
SA., THIS BECOMES A PERMIT.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
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