1983, 04-15 Permit: 83A-391 InspectI
El ADDRESS
LOT nut, SURLDVISTON
OwNER ,
• _.......
SPOKANE COUNTY .BUILDING CODES DEPARTMENT
Norm, All JEFFERSON SPOKANE, WASHINGTON IMMO MOM 464-36,11
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
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LEGAL DESCRIPTION - SEE ATTACHED
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DESIGNER
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I hereby entity that I have read and examintd Ob1 application and hi. , ro.
ad Ow -NOTICE" provisions includeon boa. and know he MTt to be TRW and corect. All pnwsions
of laws and ordinances governing this
400* of work mll be complied with oho*., scacifiad herein oi•nolTha granting of a permit do, .f Ovaasn•
to give authority to violate or cancel Me provisions of any othrtestata or local law ',plating construction or the
performance of constnsction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
DATE OF APPLICATION ___,47Z,f01„__ SIGNATURE OF AXPLIC-APIT' ' X-L-L.XN--
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SPECIAL APPROVALS SPECIAL CONDITIONS:
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, NA Salm I No. Moo. il no. noom. ro. OwmNo
of EXEMPTION
CERTIFICATE
Emu, Oist. Lowoon IA•ml
ii
ummE DATE
Ut I.
FEES COLLECTED
Nan OwcY
SEPA
Mob. Horne
Crow ISPevlN
TOTAL s
EY&A - ytt
01-17-83
0 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
TIM agOONES A PERMIT.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: 1i'1-5 � (€
DATE REMARKS: