1982, 03-22 Permit: 81B-2069 InspectJOE 0000255
APPLICATION/IMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
MORT,.111 JEFFERSON / PORRNE. WAENINOtON 'MO / foam 01030Te
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
•, LEGAL DESCRIPTION — SEE ATTACHED
1607 Blake Road _ q. CCL Nome, nn
This slap is not required to be
— FHowc filed out. N/A
& ` • Jeanne Nremcher
:
ili5. 1607 it.,, Abad
virroviiiima
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N `5boo
6. wooRCEs
CwwaE OF usE FROM iD
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or. tt
..DDR
Of -110
ER
No OFInt
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T. OP
Donn 0 ,t.v. 0 .Luo
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o AO,. o RFL.
,l3 WON. 0 M...
0 Fool
& vwLwN n 10000E WS ®®
e. TILDIlIE1 la.D hcllll ng nl
1 never *.1.11 Illal 1 ha.e road Anal ..A Iv.
Nalq cci. NI IJm�lons of IE. End wrlln is gowns
revert* UAL R.I 1.•.x II" sm. 10 I.- 1. y ot herein o. not. The granting of a peil1nil does M
PIP: of Wolk w.11 1. :....Iniad ni111 woad ler Ncc of
0 qMe wd.0Rly .. .i•J.I.• nl a«cal the 101 IwnO of ary l,i 0 001 or load law repo q l 4)0*1 00) peso.nIM
p3110 mrnc1 nI Nv. 3"woo.. SEE R[EVEI.p OIL REOULRED INSPECTIONS �� r,
\�1:-\,.�gL SI•:N. ILNLpF A+9. teRIT
��S�t�)\L�✓�
DATE of AFF UFA u�.o� �
SPECIAL APPROVALS EPE.CIAL CONDIT ISI
E DATE _. \
EMIR
CERTIFICATE
e1 E%EMPTION
a.lwrml0
«.eae D Pr... O
1•l.m, pl
FEES COLLECTED
WO 1
E VEEkq
Fl.eneIRE
•1.er• 17 -+9
P ion [Neck
SEPA
Mobile Nome
am: ISPedirl
TOTAL
0q. •11..00
•17.00 L
•1T.00,.
A 1090 S
2048! ;;:•
11-23—
K 6KIN
..4�
-77
WHEN MACMIRE VALIDATED IN THIS SPACE
nN5 DEFnMFS n INT WRIT.
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE / REMARKS:
c %/�
ri _ 11 o hirel ,,