1982, 07-23 Permit: 82A-6127 InspectAPPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT !n
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APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
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LEGAL DESCRIPTION - SEE ATTACHEO
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m tee • 11,,1111 t` a.(i.I<
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1 h.r... oN . Wt 1 O'o red .d c... I u Mit 000liution rnd h.i. fid 1 "NOTICE" oralllon Included
K. Inert. �. fad know N. mem to M true end correct All Pra:t:on of tort and nrdln.1 (1 Pa.. rein* dila
10 go. r*t .YR 0 ca.Nid with WN(.r tooc:Tid h..tin or not Th. Orondno of a 004(do.t not Or.wn.
10 .:.. tu(v:M Io .:W0u or coral N. oraillon of .n. other mu a local low rtylo•irq cantn.cuon a dw
o..lorrruiv at cvalrvctioa SEE REVERSE SIDE FOR REQUIRED INSPECT I (...t) -I1
OAT( Or ARLICATIO.t 7- i�o' ll�- SI000NRF Of APPLICANT (d Q J
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o`EurtION
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LAC COD[
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FEES EOL1ECrEO
TOTAL 1 147
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MIEN AwNC VALIPAT 0IN TNR0.(O(.
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OWNER
CONTRACTOR
NS E W
SET BACKS
DATE
INSPECTION RECORD
LOCATION
TYPE OF WORK
FINAL INSPECTION:
REMARKS: