1983, 09-26 Permit: 83A-9082 Inspect Ni SPDCTIGN RECORD
ADDRESS
DATE -y r•
jFLAN NUMBER APPLICATION/PERMIT PERMIT NUMBS
( 1 I SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY `�3�1' WPI2- -
NORTH MI JEFFERSON/SPOKANE.WASHINGTON MU/(S01 454-3575
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES •
sopor.oPNss PARCEL NO. .
1, g.49(10 `�C.IAat¢ 32544-40 '7
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or KOC. Wawa.. LEGAL DESCRIPTION:W.........SI,.oG se7.13 e..•.L`(4
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wR.I.O.OPE35 ��
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15-83
DE SIGEWR 4-y!.' .'700 rove* IIUo 2 6070
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PRIVATE
I ray Owtlly int 10...n.0 and examined Mb.PRIIO.tlorl and have read 135•NOTICE'provisions O.CI00td In
ne.pr.e NSW Fwd.,.P.sone lo be KR.end awned.All provisions of Was and ordin.rcw governing this type of WN 0)0
...RI M..,o.O.IM.54—es.111.01wS es M.Tn.gr.tNp M.vomit does not prawn.to OM.A
tne!Ry w.latete tP nova(R.e pa0..bw.a ay.Ow slate Or local I..regubtIn0 Oon.InlOtbn or Ms pwlvn4..
K OKMr.K ion.SEE REVERSE,E FON REOUIRED INSPECTIONS � Hy.eI.V
SIGNANCR Of APPLICATIOEF ,+ , .F T
OWT.'ETI OR SCEN!K ` '�'.yr Y��"-1 1 DATF '''ttL 7 _.�__.,^ Mcn.
SPECIALRAAPPRROVVALS SPECIAL CONDITIONS:(SEE PEyE`SE SIDESIFOR NOTICE)
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