1983, 07-25 Permit: 83A-913 InspectI.t�w Nuwen
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH •II JEFFERSON y • ORA .SNINOTON Ha•O y MOW...711
APPLICANT: COMPLETE NUMBERED SPACES – PRESS HARD TO MAKE 3 COPIES
030 ADORE.
•
LEGAL DESCRIPTION – SEE ATTACHED
•. • -
2
Rc LNUMBERyE
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CONT(TC330
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6.
PHONE
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s(wF&r.a0 o•.nl Arm 0.s•
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OR VS E ROM TO
IL
of D«`. I 8.
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7, 00 'KNEW Ew ❑ orNER
wo., 0 oLO. 0 00.00. '0000. 0 M..t 0 .00L
Na. enRE I No. Sloe NS ^ Room. No. et OVNIIna.
CERTIFICATE .. Am... rol Sea..
EM.TIDN
_
C � P
Enures OWL II anon l/v
ILO.
,L. COLLECTED
V�fION SOURCE AS��
ATER iE ER
& V.ILI.I 1 ` 1 w
o. o....... D p.E CODE
1 hereby mortify that 1 have read end examined this application and Nave read the
on reverse Side. and know Me sane to be trw and correct All provisions of laws
type of work will 0. comwl.d with whether Specified herein or not The pantie
to give aulh0ity to violate 01 cancel the provisions of anV other state Of 100.1 law
Performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
'NOTICE'. proviaiona irclud•d
end ordinance governing this
of • permit does not prewm.
repslatirp construction or the
a4_J
EkNI.
.... .
ryMnbl,s
=
DATE OF APPLICATION - !-1<N3__ SIGNATURE 00 APPLICANT �J
VECIAL 010000ALS
NAME OArE
SPECIAL CONDITIONS:
n Ch k
G.. N..w
SEPA
0..nn•e
w...M.
Pv.
Weil. ha
OM•r ISRacTvl
CA Fryman.
Lunt.
II..m E...awe
� ,.e
TOTAL $ —
r X1'93 1
04. •1900
•19.008
A
•000 8
91.2,
02 -08 -82
6479
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK T-/
FINAL INSPECTION: 7 vs �3 "e
DATE
REMARKS: -� --/
C� /�tS d:4: ;
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