1983, 05-16 Permit: 82B-2134 Inspect INSPECTION RECORD
OWNER LOCATION
y CONTRACTOR TYPE OF WORK /
N S E W FINAL INSPECTION: >''4 3 F4
SET BACKS
DATE REMARKS:
/h S/ 'j
•
•
APPLICATION/PERMIT
SPOKANE COUNTY-BUILDING CODES DEPARTMENT
NORTH VII APPLICANT: COMPLETE NUMBERED SPACES~'PRESS
TO MAKEON r nPIEesaoa
doe•wonrss RESS HARD TO MAKE 3 COPIES
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1`[-22-32
CHANeE O.USE.010*.. TO
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',TEE CERTIFICATE•
EXEMPTION
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`Ss�.eE wOa • -rGYj.y` • M Enu�Olu. eu.wn INr®
VALLES I nay WATER FEES COLLECTED
TIES
RYE
`twnfay Certify that 11 bare reed ab...mired this applicatlon and h.o.red WON CE proate D Ian cone �yl"
on reeves.u4,and know the same to be true and comet All a nod the-NOTICE"provisions included �'F',
ty.e of worb will be complied with whethernot N naof lawn of a Ro ordI it doe Yno,gree this SlOAna
w Pve eutnaity to violate a Cancel the provisions
oy or not The granting m Mesut
ofany other l S local law regulating construction a the
lerfe•..wrce of Construction.SEE REVERSE SIDE FOR REQUIRED INSPECT4b•2
Dong o<w..ucwnlom)2.2& 3 LI .l, _j/+�
SIGNATURE Of AMGN t
STEC1AL APPROVALS ERMAL CO T MaskL
• j� p y�/ _Jll3 1
c» n, NAME E 2e� /j�dOd�/ "\ Plan Omsk
SEM
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4.
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TOTAL S/12-.- -
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/b A . WHEN MACHINE VALIDATED IN THIS SPACE,