1983, 05-11 Permit: 83A-3387 InspectRAN MANNER
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APPLICATION/PERMIT
SPOKANE COUNTY— DEPARTMENT OF BUILDING & SAFETY
MONTH 111 JEIFEAION 1 IIOMANE, WASHINGTON hNO I IA 114101()1
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARO TO MAKE 3 COPIES
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LEGAL DESCRIPTION:
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1...r a eye, Ary ..w p.. ern. to be tree and erre.. All p0( S,. W d.. Ivy 0410ts;ee po.err.Mg bola type 01
Acre .tn be mni1M0 elm .Mir .F.dI40 herein to. M. The venting of . porn. de. nor Neo. .. ph. ....
Petr, Y Adele o vbl ..1. M eery Neer FYI) or dol 1.. repotal10 oNa4a1dn or Vie portio potion...,
APPLICATION
M[a.NtpY. �E (A1 SI F011 SECO 01M1PECTIOM!
110NAT1RE
OWNER ORA DATE
IFECUL AMNOVI
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11.
UAL LOM01TOMI: PEE EV (NSE 110E FOR NOTICE)
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ve 1. (71/
Vial."' IA MOICt11A111FE !MALE
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FEES COLLECTED
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Poo Ohms
1/•••••1
CAIN st..NI
TOTAL S 1E5
0C• •1000
• 1801371
A •000 C
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0t—[7-83
6079
W HEJI MACHINE VALIDATED IM THAI IIACE.
IFRMIT.
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS: