1983, 05-06 Permit: 82A-4539 InspectmSPECTIGN RECORD
ADDRESS
DATE RERKS
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1
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH at. aE•FEnaON / MO. Aw E. wAEH.wOTONPPnp / IfE.l.µ Nfa
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
.0 ADOR
CR
•
OWNER
ttrtutL[y
N (05 Maec IArAMIZ
Cola'RAc?O.
ooREEE
Iz2o-SoAnut£E I
CKSIGNER
yS bE 9911
99 zo c�
PocON
o l In
'ID
LEGAL DESCRIPTION - SEE ATTACHED
&REEL NUMBER'S 165Vy_oZ5I
( .LTM- ow 514e PLAN
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. '7
F / 00
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t.
4... ani SyoO gAtw
oo
100
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Er.
EMANEE Or VSE snow
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O 0000 O ,•_ O R.E.
O WEE... O w.... O .00l.
0 OTHER
wATE,
SEWER
1
a.MnMm
CERTIFICATE
.a EXEMPTION
R. ;Lean 1.00
,1ZE CODE
IN O0...r.
,�.r.l
I Mr.Or cavhty that 1 have lead End e.am,r.ed this application and have read the 'NOTICE" provisions included
on lee tide. and Anew the Lame to be true and correct All provisions of lawn and ordinances governing this
tvpeeol •.ant will be ttirtiplirCi with whether waiting herein 00 not The granting of • permit does not presume
t0 4043* suttarity to 4;0,01. 0! cwRel the aaeidn of an, other state or local law regulating construction or the
w. romance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
-�
.3+ TE OF *..LICATHIt0 C. 4 -8 ' SICRATtME Of APPLICANT C: l�scaE<.)__
SPECIAL APPROVALS
M...E PPT
074344* "Cr( fl
SPECIAL CONOI0I00fi
FEESCOLLECTEO
Snot* S -
44000'* (0❑pp
hwwHp
0140 0004
SEP*
M.aN Men•
Oth•. l0Rreily
TOTAL S '`'
8;JE-453%
4353444
Ot—C43AP2
S 5437,
WHEN MACHINE VALIDATED IN THIS SPACE