1983, 10-10 Permit: 83A-9911 InspectPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH S11 JEFFERSON / SPOKANE. WASHINGTON 09260 11500) 416.3013
2.
1TREET ADOOEM
APPLICANT: COMPLETE NUMBERED SPACES
-E',cpN C
— PRESS HARDTO MAKE 3 COPIES
PARCEL NO.
LEGAL DESCRIPTION:
3.
MAILING •IXIII011
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TYPE bYNEW 0 ALT. 0A0' N. 0 RPL. 0 MVO. DOTHER
WORK
7. 0 910. 0 PLMB. d MECH. 054.04. 0 POOL
W
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9. a I uri°fm6s GAS
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raw"hereby ld l yrd Snow OH own* lo b4 Ir. I,AA. Mid And nandINN
corr.ct. All prova1�sionsvof Mad law iand'ordIW(00• provision.
utypo of
work .0 M osmpIOd witn wMtMr aprilOd heroin 00 AOI. The Granting of • permit dor not ;Krum* to Olv4 AU.
0,0.lr4 to +lolate Or cancst tn0 pro•10100. 01 any PAM Hal Or local law reQulallnO oonnrutllon 010,. p*lormanca
of construction. SEE REVERSE SIDE FOR REOUIREOnINSPECTIONS
SIGNATUPEZEN a LCr/4.ai�-•'1
OWNER OR T �1L/d'SA�
SPECIAL CONDITIONS: )SEE REVERSE SIDE FOR NOTICE)
va Fent.
lura
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APPLICATION
DATE /0 -LI -f3
SPECIAL APPROVALS
PAWN, PAPA OAT
Rana 0
EES COLLECTED
6.140,
Plw.rN _
w Ovas
CEPA
gi o. . •
09 004+0)
IPERMIT NUMBER
g -3a ctaI4
04•
•2000
•2000`
•G00 2
991.0°
IU -04-83
6479.
TOTAL f
06
WHEN MACHINE VALIDATED IN THIS SPACE.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE
/o-ic —&3
REMARKS: