1983, 09-02 Permit: 83A-8427 Inspect (PLAN NUMBER l AFFLI(A I IUN/ 'LHMI I
SPOKANECOUNTY- DEPARTMENT OF BUILDING&SAF
-Cidry
UILDING&SAFOIEY IY4NM11 HMYtN"S4
Z21
NORTH SIt JEFFERSON/SPOKANE.WASHINGTON 602601(5061.66-3676
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
51700 A00RE5$ I PARCEL NO.
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LEGAL DESCRIPTION:
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I hereby certify Inst I haw read and examined this application end have read the-NOTICE-provisions Included on
r..rea side-and know the same to M bee and cerrect.All provisions of lava end ordinance.governing this ITC*HI gyp -- J
wah will M complied with whether specified herein 01 rot.The granting of•permit dow not presume to Sloe so- (]iJ/VII•
inertly Ie violate or cancel IM provision ot any other or local law repuleling construction OP m6 performance Rw.a.o _I
of construction.SEE REVERSE SIDE FOR REOUIR EO INSPECTIONS
SIGNATUREOF Af / L-.w APPLICATION j!?O_rg N.wn —
/���v" DATE
OWNER OR AG �l�J
SPECIAL APPROVALS SPECIAL CONDITIONS)ISEE REVERSE SIDE FOR NOTICE) rNnOh.. _—
s.e.".Ewlu wrt ,E,Pc/441 .
(0><CZr' /po NeirtJ) i
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88.+116 w.Num.
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...:fLW:a TOTAL S
3EPaWHEN MACHINE VALIDATED IN THIS SPACE, y
PERMIT IS NO11711M fERABLE THIS BECOMES A PERMIT.
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7
INSPECTION RECORD
" OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION: e
SET BACKS
DATE REMARKS:
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