1984, 04-16 Permit: 83A-3023 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE
ArrL IUA I ION/ PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH all JEFFERSON/SPOKANE. WASHINGTON 99200 / (5091 0 36-36 7 5
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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I here, cerhly that I nava read and aramined OM application and nave read Ina •NOTICE• provision. Included on
and 2no. Me same to Co true and tarda. All provisions of laws and ordinances governIng Ulla type o/
ams CI ...non. corm .vnemer s0ecl01 9 herein a not. Tree gsanling of . term0 does not Dreaume to owe du-
o aaaa1. •r cancel the ASIDE 72ns of any oma stale E local law regulating construction of IM PariOlmance
o co Slrucbon. SEE PEVERSE SIDE FOR AEOUIRFD INSPECTIONS
510120 TUBE OF APPLICATION
OWNER OR AGENT DATE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Nrttn• FINAL DAVE
FEES COLLECTED
PUn Ow.
SEPA
MFG Nom.
Our Merv,
20 oa
TOTAL f
�PQ�EyRMIT NUMBER
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069 •2000
2 n +0
A
50220
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WHEN MACHINE VALIDATED IN THIS SPACE.