1983, 12-13 Permit: 83B-2264 Inspection �„ APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY IS�aUMBER
NORTH atl JEFFERSON/SPOKANE.WASHINGTON M2110/(f0(1 441(111 i
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES pYE7J'.hQTQ Og.
PREP( ~ PARCEL NO. O 7
11"1204- A�I._I 18553-p3'gl
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I Ilwae,certif.-TM,haw M.o100.wwl*x*A opplblloo and ha..road IM•NOTICE•provisions Incl plod on Il1
/wars was and knew Me was P•M Nan and e.r..ct.AO provision.of lava and ordinance.governing this typo of
Non.MIN corroltod.Rtl..0.60.10.PSoN16(NaNN or not.TI•.granting of a p.r11)dom not plwan.10 010.n, 00Y 00
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0IOwNNa0TNN 1.3. AAA:-WOE• i.////// INS ,CTION
SIGNATURE OF � �� _ �j a
/// /7� OATEfnw%S—L—O.3 M�.n _
OWNER OR AGEN• /�i
S:ZCiAL APPNV.ALS v''SPECIAL C0NENT19012:(SEE REVERSE SIDE FOR NOTICE)
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Walla rW.l pan r- CaTIZAI>/U'J IN FIpas •��
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KEP. TOTAL I- .C'"*.''' LL
RcRUnx w .. WHEN MACHINE VALIDATED IN THIS Sparc
ADDRESS
INSPECTION RECORD
DATE
4:277- 7- 3
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