1985, 04-24 Permit: 83B-2611 Inspect0633
APPLICATION/PERMIT -
SPOKANE COUNTY— DEPARTMENT OF BUILDING & SAFETY
NOR TN 111 JEFFERSON / SPOKANE, WASHINGTON 11200 / ISONI 401 -3148
APPLICANT: COMPLETE NUMBEREDSVN,ES — PRESS HARD TO MAKE 3 COPIES
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LCrD AT. DESCRIPTION:
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Tt .EWPAp` -NOF.I...d, JC •- FEES COLLECTED
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C. C,31/.1.on SEE REvEE�R1}SEE SIpE Foot REONREO INSPECTIONS - -Otti . .fMbr.....
StGNATURE OF OWNER OR AGENT rP ��/
oPPLICAnaJ -:
SPE116109 0OVAU 'INp
iPECIAIf:OXgTiANl: (SEE REVERSE SIDE FOR NOTICE) ,„.�_
w1EtN. FINAL OA. .:... .:.
ea
MCA..
SETA
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I!.
647:
TOTAL S °-
WHEN MACHINE VALIDATED THIS SPACF
OWNER
INSPECTION RECORD
CONTRACTOR
N S E W
SET BACKS
LOCATION
TYPE OF WORK
FINAL INSPECTION: l -Of
DATE REMARKS:
etc XV j47(44e1 /l/V/ "id
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