1983, 12-05 Permit: 83B-2076 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION: I' 23 3
SET BACKS
DATE REMARKS:
04 1412:/3-4-
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I-a3 E it1 74- -r) ,4/e i4 /V /241
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—BSA.NUMBER I APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY— DEPARTMENT OF BUILDING 8 SAFETY B3.-7s-2L ,
NORTH SI?JEFFERSON I SPOKANE,WASHINGTON 162601 ISO)451-3678 F'-_`,•A.1
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES l;u• •2M1U0 r✓A;'
'TKO,MLbnESS V1 PARCEL NO. •2A008
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LAS I �eEriFG ^C FEES COLLECTED
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i0 M 131.00.0 wit elnw s0.c11 ed nwei6>I.Tn•waning of a wain.lo•a sal ornome to QIv av- ( -II
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SIGNATURE OF RPil0CAT0Q .� //�; {y /J_
OWNER OR AGENTS - -• �� " DATE L �' ��L'OJ "•itl' CtL��J)
SPECIAL APPPOV*L SPECIAL CONDITIONS:IS REVERSE SIDE FOR NOTICE) qv.cvai
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