1980, 09-26 Permit: 80B-581 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS: ,
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... „.„...
' -7------APP-1:16'ATION------/PERIPare------ ' ' -- r o • ,r/ •
•
'''''' NORM 011 JEFFERSON/VORA ,WASHINGTON -
,.'„ SPOKANE COUNT,- CODESBUNtI.DING ...DI To 9A,CI,:r2 1 1 13.72:41.
APPLICANT..COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES
,,,,L.E...G.A.L..D.ER,,SC66..RIPT4,10N...--ISLEIATTACHED
02. /400
'
0.4.
10110
A ,,. tf-Iiiiitl i'Ll'grili.1".71 '."1"P-FAtura' 5'80P ,
.mommimmmilkikviiil veivimilis
litummilliall. , , ION ao.05‘. C.I A...t... 0,-22-U
VIIIIKelimm.iii&siggilibrifill
f-• sais ..‘
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1110111"1111110111111Thiriii
2 0.1 RP, ". 1:1 coTRER cERTIPicAT.EN he !,,,,,,
'':' ' ''4‘ -t"M" 0 mecti. 0 IAM. 0 ..1.
tiV:'00 0 ELO, 'CI°L'.". ...,e4Ngr.....AIIIIIIIIISMII
at"EMPliiiiia FEES COLLECTED
''' 'iiH AiifirlrOrMillill
— '.ilidgillTh.'-'- "ClilitlilliiLC1111.`-'''1111.1111 Z:s c CI Pr Ds to•,
'' .4. 1.11...1111......". "NoTtcE"1..41.n°In'h'd°
il''''. ;' '' '4.a"5".e r nd examined this atiliik.i'im r.d.hva.,l'ont d'new-and oradrin,netnadeosesponvoe,rnpinressut,,,h ea Build
d
Ti‘ hereby cesSitY the))h'"- ned ene to he true and correct,Piloir 00,.i i.gr.r.!0,,,,,,a,,n9 constro,00n or the p.... _________
ee reverie elda end en"elleerith whether specifie7 igeiri,ither store 0 .oi ls,r ,o0 44t
"twork"''be l'"°-.::::ei2:---16______ --_--)JL---- - , e . .
.,,. ,,' ''iriefode4e4abl*eUtherlftVOOV:e:;iuoGlion.SEE REVERSE SIDE ,,,, i ..),, ,.,,,, I
_______
°' '. SIGNATURE OF APPLICANT,..,/-.,...... -'---,---
'' ATION-1---Af?-L-------
',4, ..,...Kra OF APPLIC
APPROVA_ITE SPECIAL CONDITIONS: 09-8'( Plea Cheek -----
MAkLLem. PeA76"441-6 --'1,r'Rt
en ne , Mobile Holm _—
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e. "F.." Other 159.11v)---- • ''.';',t
rc
4 , we
\:7,,,I,,, .. ‘•.,. TOTAL
E MACHINE
----
VALIDATED IN THIS SPACE, .
n 'IY-ti "*"...il fir YITZIFCOMFS If PERMIT
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