1983, 09-27 Permit: 83A-9446 Inspectr
AYYI_1(:A 1 ION/ F'LHMI
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 111 JEFFERSON / SPOKANE. WASHINGTON MSS0 / (SMI swam
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
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1. E. IZZOL Oce
2, l mllr
PARCEL NO.
3.
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LEGAL DESCRIPTION:
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TYPE 0 NEW C ALT. 0 AD'N. RPL.
}. OF 0 OLD. 0 PLIAS.
WORK
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oy caHIN iNal l Nava reW and eaammW Isis .pli at.on and Mvo road IM 'NOTICE' provision* Included on
r•vors KO, and know the same 10 M Du. and COn.cl. All provisions of lows and ordinances governing Ms type of
worwill M Complied with wMlf*l apet1Ned herein 01 not. The granting of • permit does not Prsumo to give .u -
p`1, l0 vldaH 01 cane* 1M p00110n* of any other .Iola re l00.1 lave regulating contraction or IM performance
or 000.111 tlbn. SEE REVERSE SIDE FOS REOUIREO INSPECTIONS
SIGNATURE OF �y _ r APPLICATION 9_a3�3
OWNER OR AGENT) { �C DATE
SPECIAL AP ROYALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
MUM. FINAL PATE
M_
BN*
100.
FEES COLLECTED
MLA CASA
.EPA
PERMIT NUMBER
-
B3A-9446
04• •3000
•3000 F
9/!145,
09-2_.-B3
G47••
vb
WHEN MACHINE VALIDATED IN THIS SPACE.
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: /O
REMARKS:
2.ce el Ai
edgii)-e4 .SWC,• 1)3 12"'0/ .173/4a7 6 Evac /1 -<'
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