1983, 12-08 Permit: 83B-913 InspectAL AN MoaA1EA
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APPLICATION/PERMIT
SPOKANE COUNTY- DEPARTMENT OFBUILDING &SAFEfY
MOA TN alI iETTE.SON FSPOKAM E. WAWINOTON tao (Wm aaaaara
APPLICANT COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
I t6 216 BI
2. ` I
3.Jack Hamlin
East 13607 Main
a Same
5.
r171.4540
99216
PARCEL NO
LEGAL DE6CRIrriOM:
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OPEN 0— armee
n...mW 44011141..m....
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TTPE CO MEW 0µT. 0 ACP M. 0P L. 0YVE.
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LYON 0 .to 0 RANI. Al IA ECM. 0 Y.M. 0 POOL O1H0R
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Ins talletlon Of roods tave
9. ..10.1014 I arliir I
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WHIT but I Or. read 11414..00.4/1.0 e.a *Nicola ane N. nod IM •MOT ICE• P/wbbn. Incl.p.p on
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Roe.. rent kren.
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amr.1 b eon, wel bw.l. . � ~.ai.�1.04 M` -a.�w TMbo1 4. •1 a P.rnn Oo• rA presume b Etre ger
t.
nm... SEE „jf FORM r• S. MOMS
11•a�A..4/p 0rNrrWbn .1141 P.ry.Aa,Y.
IN
SIGNATURE°.
OWNER 0R AGENT
ar
SPECIAL APP
r I
11.41. 0810
tiw
1E04
SPECIAL CONDITION& DEE SIEVE
APPIJG71011/ ./
DATE IO',7S— O�
RSE UDE FOR NOTICE)
1.0 N.0 N. -t.
..0 ...0
.s.. 0
U. •2000
•20000
p . :r 42
FEET COLLECTED
9420
10-26-03
e 6670
20,00
oar
WW1 Ho.
0.0.1
TOTAL S 20.00
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INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSEW
SET BACKS
TYPE OF WORK
FINAL INSPECTION: /V -S7---5513 c�vTl�
DATE
A? 5�
REMARKS:
CU (ser"P 1
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