1983, 02-15 Permit: 83A-1021 InspectN„M•E.
APPLICATION /PERMIT
SPOKANE COUNTY. =%BUILDING CODES DEPARTMENT,
NORTH •11 /EPPERSON / •.ORANE, 0A•01NOTON MHO / 110.) .•4-3418 •
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
try-
`" LUO�aR�
3'. AooRCSE
l�
Ap7 jc 3 C FrxaESt .
DESIGNER
ADOMESS
PwoNa
LEGAL DESCRIPTION — SEE ATTACHED„}
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•N + v Y•��'f -•t
Aclaol Eel Eon.. On Pada
Sao of Puna
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.o
SoOntival
❑o•• Oo, s 0 k1w .. L_
Duna, Af.
MM.M.r von.. Floor. Ova,A.
0,000E 000(V3053 IT°
7. 0,woA« O Mvc ❑ V w ❑ ALT. 0 0.014. 0 R.L
G •La fw. . M.N. oTRu
NwLwT3001::c T3:.1 00. j ELecTR.n 1
Puy al Docks • I U11
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nACERTIEI i
Enna, Ola.
CERTIFICATE f3 I Ns woom.P.c'a. •}Iw Rw `
EXEMPTION
Lau3w lA'r1
USE CODE
ex.. 000... 0
I Mr405 certify that I have mad and eeemi3wd this pplRacon and nave nod dM NOTICE" provisions inclW.d
an ,, . .ide, and know Ow same O 03 woe and cornet All pro.ifipnf of laws and ordinances governing UM
nor. ors work m11 M cvo,049 with ..0•d... p.cifi.d herein or not. The granting of a permit do.s not prawn.*
w give
...twiny to v,Olate or canc.l N. provw.om of any other state of local law regllatm t Na
parformema of comm...., SEE REVERSES SIDE 5011 REQUIRED INSPECTIONS
O;TE Of APPLICATION if -15 7 SIGNATURE Or APPLICANT a I� «
SPECIAL APPROV•L/
SPECIAL 50501110033
g4L5.
y 6%13SAAf
5r.- -s
ors .f.
a t-9
60
? 6 /aJa f
lUk.
Mon CARPI.
SEPA
Mob. Nem.
0149,100.6101-
TOTAL 3
frite IT fa uM•
o3,. - Ew oz1
M •p S'•f.' �• 5.00
•aso08
•000 8
020[ !i •
02- 14' -83
i 6479.
WREN MACHINE VALIDATED IN TSIE SPACE,
ADDRESS
IiiSPEC"TIGN RECORD
DATE REMARKS
.2 -- /5-'-h- 3 •AZI.P PI- Pis Ad 7AA , r ,tom,
0.---,/,-g---___ Cf,er PL P77-- czr r. 4 4 lco
7 — 3"%8-3 cf.- w- r i p :46 /2-