1984, 04-09 Permit: 84A-3024 InspectADDRESS
INSPECTION RECORD
DATE RETZ{S
PERMIT NUMBER
AAA —3o -4-I
(PLAN NUM8ER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH II I JEFFERSON I SPOKANE. WASHINGTON MOO I U01I4MaSM5
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE J COPIES
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CO./TRACTOR
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DESIGNER
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PARCEL NO.
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LEGAL DESCRIPTION:
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84'
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TYPE "/NEW
WORK 0410.
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t hereby entity Mail l nave Two and .•amined Ma wont—Ilion and have wad IRE •NOTICE' ProvIal.ni 1001.4.4 on
mows.. aids. and anew IM lawn. to M Irw and correct AR previsions Items and ordinanpes governing )mi. type M
work rill pe oom0llad with wMlnar .0..84.4 Retain or not. TM granting ole Parmlt 0000 not Prw0m0 Ie Was ae-
IoodIY I. v1ai5M a nxNai tai p00I3I0 s of any o1ncr Haw or local lar fugulatIng construction or IM performance
Mel construction. E�REV/�SE�SI• OR REOUIREDINSPECTIONS
SIGNATURE OF ///!}1��- APPLIWTIO �I /v /(j i�
OWNER OR ACE. � 1�_ DATE Lti6(196
SPEC AL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) '
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414.
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Lli
41+
^_ 7 S PERMIT IS NONTRANSFERABLE
j 7/ PTRMIT IS NI ILL ANO Vnin mF anin., N• a tine nna.•.r..nen
FEES COLLECTED
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Mn.
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OM. POMO)
TOTAL S54
02. •:nuc
•:EU00
a • r. r;
3021!
04-41 -P.4
.7 Q41iC
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.