1982, 05-04 Permit: 82A-1185 Inspect 1
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INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS: / ,/4 / /�4--
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APPLICATION/PERMIT
SPOKANE COUNTY—BUILDING CODES DEPARTMENT
NORTH B11 JEFFERSON/SPOKANE.WASHINGTON OMB/MOO)AS11.36711
A E.,*- & o.fld
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES PERmIT NUMBER
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oil* •2C 0 0 • .
c.. P,70 2, .f.---K rt4 , ..c-- LEGAL DESCRIPTION—SEE ATTACHED
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1 1 8 4 R
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OWNCP
1 LerOl\I id ec+1 IS Le gi/F—,1 72_ 0 —2 2—82
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"r"12-70
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' ADDRESS ZIP
. OVW ONO 0 RWW.
OCMONER pHONE Valuation
5' ADoracas ZIP Main FIDO. I Sown Fiero. 4.5.0 0,•a I Memo. -
CHANCE
6Or USE room Arm or Docks I oimanwemonwrit I Until,Snemer.
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EVNEW 0 ALT. 0 ACros. 0 APL. 0 ease. 0. row Boma I N°.s,.,..j ......... 1,...o,o........
7. OF
,..,..., 0 1510. 0 RAM ZaKaECH. DUO. 0 POOL '"E' CERTIFICATE Roo,. R•dri• ror o oki:o•
ad EXcrAPTION
Eno..Dish ub.!La !Areal
-...fe..1/r., FEES COLLECTED
I. VALUATION-1'0.RD. GAS ELECTRIC WATER SEWER Ownermle USE CODE
UTILITIES Pub.(OP....0
Single S
I hereby certify Mat I have read and examined this application and have read the"NOTICE"provisions included
3.rt reverse side,and know he same to be true end correct.All provisions of laws and ordinances governing this . .
woe 01 work will CO complwi
ied th whether specified herein 0,nor,The granting of a permit does not ad ."
orn. "."."
1 to give authority to violate or cancel Inc provisions of any other state or local law regulating construction or the
,erformance of construction.SEE REVERSE SIDE FOR RECIVIREO INSPECTIONS ewnveina
. DATE OF APoLiCATION1:11_44P2. SIGNATURE OF APPLICANT 4,..)](4./....a, _,,_.0
SPECIAL•PPROV•LS SPECIAL CONDITIONS:
NAME DAVE Woo Chock
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Omer ISowilvi
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TOTAL S
V11.04 MACHINE VALIDATED IN THIS SPACE, ,
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