1983, 10-21 Permit: 83A-8396 Inspectionf PLAN NUM6ER
APPLICATION /PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 111 JEFFERSON / SPOKANE, WASHINGTON Wed /ISM 'SS.SSIS
APPLICANT: COMPLETE NUMBERED SPACES —
1REE I 6. J 90,
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1,
PRESS HARD TO MAKE 3 COPIES
PARCEL NO.
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DEPONCA
5. AGGRESS
LEGAL DESCRIPTION:
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ISM
ANGE OF USE FROu
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TYPE NEW ❑ ALT. 0 AD• ❑ RPL. ❑ LIVE.
7. Dr ❑OLD. 0 PLAIB. ECH. ❑ M.H. ❑ POOL 0 OTHER
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em Juno. setamtnt
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1 he,ebo Pray mat 1 haw read and e.amlned m1s aopllunon and haw read the •NOTICE• provision. Inclosed on
rv .10.. and know the .erne to he Iwo WWI Parrs?. All Pravlaon. of law. and Ofdlnrw.. pov.rnhp 101. type of
oil win h Pm0)1ed with whether specified heroin or not. The granting of • permit do.. not Pr._yme to gl• .u-
'melty to violate or anal the ProvHlons of any ether .tale or lout law regulating conetrud. or 1M Performance
Of construct.. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF
OWNER OR AGENT DATE
SPEC AL APP`N u SPECIAL CO IONS: (SEE REVERSE SIDE FOR NOTICE)
.Rtt1M PATE
No D.wlN.
Fe. Meaux. o
Am..] O
FEES COLLECTED
Pap
Fan Wu
SEPA
aeawf
0th. 0 o)
TOTAL S
10-
PERM IT HU --
06e •2730
ea9s
De -3C -3
6679
E VALIDATED IN THIS SPACE,
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK jj%%
FINAL INSPECTION: 3'�� -Ps' .
DATE REMARKS:
/O -.2/-53 '41.a� -1 �r ow-4 ,eiej