1983, 09-26 Permit: 83A-9485 Inspect PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER----_I
.—J SPOKANE COUNTY- DEPARTMENT OF BUILDING&SAFETY i 6 A 9488I
Ell JEFFERSON I SPOKANE,WASHINGTON NEED l(SOEI 260..127E
APPLICANT:COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES 1 •
ITMRaOOnEn PARCEL NO. '5- �y_
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r ,.Id..end Snow 1M same to Oe true and Correct All provl[.on[01 laws and ordinance.govrning Inle type of
ecru H111 be complied with...IOW,7W.I.ed nere.n or 1101 The gr.nling of•permit does Vol pr.eum•Io give au- 1.02410
Tloos or any omer mate or
al law ... ...netrucilon Or the pmm
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101010
SIGNATUREOWNER OR GENT r ,4- , / it
APPLICATION .1t ZCe I R3 N�
GATE _/ lV 7-Q—
SPECIALAPPROVALS SPECIAL CONDITION T(SEE REVERSE SIDE FOR NOTICE)
[+•'�.rn RrtliN.• •' DATE [-Tea
r.
Ero.+ Om.SporoN 13
SEa� TOTAL S LL
•
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE / L REMARKS: /�/�
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