1982, 11-19 Permit: 82B-1183 Inspect-p
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INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION: if'2'1 - - ���-
SET BACKS
DATE REMARKS:
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411.1111 .
(PLAN riVM2ER i APPLICATION/PERMIT EnrnrN�MRSR
SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY �(/I Fn FS— II , /1'‘. ,
NORTH III JEFFERSON/SPOKANE.WASHINGTON 99200 I(SOOT 494-30 IS
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES i f• 1:-e 2-(;r
I- `THEE- IC20 AJILe'LIP-- �O/{O / 7 PARCEL NO.
OT I SVefNVISION LEGAL DESCRIPTION: ----"- -'-.___-----
2.
.NONE PHONE
3. L-.Un. u G i, 64,
Wrr •T ` !LICENSE EXPIRE{ E Ln.Pry AchrISNIII.La H Fort La
E2o-NGnwlarlase 10-1 -
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DESIGNER PHONE I*Cs.VaJwiron RwmN
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5. .pp EEE DP Vdrn no. wee Paws !GNAWS!w. !w"..P"
CHANGE OE TAE PRO. ITO Ce-e bn uN..Ow. I.wrN.n JUN..!Hera..! -
8. '
TYPE ANEWAWN-ALT. 0 AN. O RPL. C MVS.
....... IMO EN"O .Acorns w Npr
T' OF 0OTHER w«
WORK O Rit). O PLMB.2'GECM. O M.M. O POOL °°
e 2N �riO ,. N"'A"
PO,. s
ELECTING sEw. °aura..
9. vA UrwlilEs ereoiTE� iMEwrt[�n tS Kota Pilule FEES COLLECTED
I hereby certify tat I new reed end our/tined tI1.ppllulion and Mw rood the•NOTICE'provisions Included on
se Eke,end snow IM same IoM true end correct.All provisions el lee.end Ordinances governing this type of
cork ek be comp..d with ealMr specified Ur.n or not.TM granting of a permll does net presume to give au- ....RP
Illority p.NAete or canoe to provllo a of any at.., or local He reyulaling Om.lructlon or IM performance
ofconatreCtlon.SEE REVERS LICE FOR REQUIRED INSPECTIO_$ Heinero
OW0ER070?C VT r -- JlS.- . APt L DA EICATION/O/G-PJJ_ R LC'-
SPECIAL APPROVALS SPECIAL CONDITIONS:N EE REVERSE SIDE FOR NOTICE/
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maw.!NYEDATE r age Cern
H ro NW wr
MFG.Hale
bN.I� aPr aew H
un�en TOTAL i L-0
sf e. 11
{ IF
eERMITI WHEN MACHINE VALIDATED IN THIS SPACE.