1981, 03-10 Permit: 80-6463 Inspecta
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSEW
TYPE OF WORK
FINAL INSPECTION: 2 -3-, s2- ''e
SET BACKS
DATE LL
REMARKS:
1^t
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adN;�c-^;`6�.s.- F TAPPLICATION/PERPAIT
- - _ ..7 SPOKANE COUNTY — BUILDING CODES DEPARTMENT
j+J, NORTH JEFFERSON r SPOKANE WASHINGTON 89750 r rEwl se vine
CPA's APPLICANT' COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
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LEGAL DESCRIPTION - SEE ATTACHED
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I hereby certify that I have reed end eoemined this application end nun wad tat. 'NOTICE" Nnremn. included
ravine skit And know the Mm1 n be true end COMICS. All p,Cvwmlo of ler, end 0Xeneno.s governing this
on
om will M compn.d with to
'pacified herein n I The ll.m n nn porrn t does not nr•w ate
00 oro• .utority to violse or cancel the provision, of env other not
or Tom I. r.awN„ or r
palominos of con.nornnn SEE ROW R44 SIDE FOR REQUIRED INSPECTIONS
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SIGNATURE Or nPPu,ANT((a44—Zs•L
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Of EXEMPTION
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0311 COCK
DATE OP APPLICATION 's, 1• •o
SPECIAL APPROVALS
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SPECIAL CONDITION.
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Defrta
PES COlaCTEO
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P a x
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Omer ISPICItaat
TOTAL ./O. GO
14.1
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6462E
06-30-80�
4 6479
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