1983, 11-15 Permit: 83B-1542 Inspect as
as
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INSPECTION RECORD
lip OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
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DATE MARKS:
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PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY I83B-k 54-2
NORTH 011 JEFFERSON I SPOKANE.WASHINGTON O11200I(SOY)464-SITS
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TOO :KE3COPIES 1,4• •2000
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reverse fate.and know IM woo to M tr.000 car001.All provisions of laws and ot4bMncee povernlnp thla type of
work*41 Recompiled win 0M1Mr.p.cl11a0 aweln Or NOS.The Wanting of•petmlt 00.e ROI Va...to Olv.au- .yxwry
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SIGNATURE OF APPIICATIOM//��!__g.,
O:':£^CFI AC£:^ DATE V I
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
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