1984, 04-09 Permit: 84A-3011 InspectADDRESS
DAZE REMARKS
0
VERR" 0 IV1O/ 1'Lf1IVII 1
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 011 JEFFERSON / SPOKANE. WASHINGTON MSM/ 10011454.3101
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREA.OMES{
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RA,TOR LICENSE WIPES
DORMS
h.1t!
DES.GNEe
5.
6.
N..A
PARCEL NO.
0154-I'110;
LEGAL DESCRIPTION:
42s
ZIP
441441Swellsrialsi lN.
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PNWE
fm.TW
7S M '3!-
IIF
1.1
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err Ow O0y'a.
PRONE
ADORES{
ONANGE OF USE FROM 1TO
TYPE (,KNEW
OF crew.
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L.
amors1.0 WNW.
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C,F3a.
1G0F4_ER. I`ass 11N.°
Mein rim
D ALT. 9A0'11. 0 RPL. 0 MVE.
❑ PCMB. D MECH. 0 M.N. 0 POOL 0 OTHER
(}-I D.11
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SOURCE
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1 n.r.Cry cartny Mat 1 nave reed and e.aRI0ned MIS a001N.N0n .n4 Raw reed Me 'NOTICE' provisions Included on
reverSe Side, and SRO* the SARI. 10 M true and oorreet. All provisions of laws and ordinances governing MIE I,O0
n,0 de eomol,04 .ride nemer Specified herein o not. TIN granting 01 . pH nal .. d0 0« INpume to gin 40.
wore
w violala or Cancel me 000010ions or any doer or 104Ei law regulating construction or Me performance
00000110U000on. SEE REVERSE SIDE FOR REOUIREO INSPECTIONS
SIGN ATUREOF J TPEICATION y /r/gy
OWNER OR AGENI�va.....—t- ✓�Ef ii •^.R�s�L_ ...}L�!
SPECIAL APPROVALS
.r.Etr., FINAL OATS
140014
rime
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taream
SEs.
awe
ra.a.a
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SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICEI
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL ANO VOID IF WORK HAS NOT COMMENCED
IN 100 DAYS
w✓. R.awQ
FEES COLLECTED
00
sU.•NM
Ara
MES.
EeaaEr
MRS. Nemo
Orr WeehI
4,
TOTAL i 4,�
PERMIT NUMBER
$41A
l: 700
7c
(u
r.
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.
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