1982, 01-15 Permit: 81A-0921 Inspect'1'
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APPLICATION/PEarI fk. •-
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SPOKANE COUNTY—BUILDING CODES DEPARTMENT 10 Pr e"
Nonre ett dEFFERSoN(SPOKANE,WASNINOTON 50250/lSOS)400.3275
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
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OW110.4 /v ((��n�irlAP/3', LEGAL DESCRIPTION—SEE ATTACHED U• .1 600
Wl I BLOCK IDIPARCEL NUMBER'S L4'l
2 OWN[ - -160o zoo` a 1.
'''' �. U��eVill ,ek_ 9??002,3(, ••boos r , v. o
MORRIS q p nv A •0 0 0 8
�G 4 n'l.'S et• .i'9J norm ..kISSUM _ lo,n of 1r
W Ae O _ .N.,!�4 stn of Pares .»a, r — �� `d
p `�D �I_47_81 fi
..J�Ai a %.9vl�-\ TYPE COnef I OMue,na . zno M -
pW1eNEfl v%np7NE C/ yalustion Ob Ono "O Rea'!.
AdOoRep 2tP mein F oor I UOPW Floors Coma At.. I lt.r...
WARRED.ME RRom ITO
a n....r neen Plnlellq NRRnI I UMW.Yrnunf
TYPE arta.. 0 n,.r, 0 wo'n. ❑RPL. ❑save
.---. ,Ni,emu NO.ROOM. IIY0.al pWallla5. I
7. oe ❑erNEA J f\
worn ❑ELK. ❑acme. MEGs. 0 m.n. O POOL elate Pl Te I K
,�/l/d/ w•0.. I Re a. I Read'
DEee NEE wp of EXEMPTION
a �H�4 NB t-p enum.DID. ILaotian(Areal
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I FEES COLLECTED
VALUATION]EGIOCE p7 ELECTRIC I WATER /
4
VALUATION]
X SEWER p.nerNlP USE CODE 1//)
I hereby coolly that I hiss read end cavalPuOTelle Dor/vat.❑�
IBJ IIIIS icor cat o 1 J haved the 'NOTI1:1 Slrpb S c
I x do and know the same to be tics and correct All n I ^� ]Gly dei J
typ.of work Will he complied w th whether.peSlfWd herein u ty (Il rent a yarn nO this
I to Okra a I 1 of presume
Bolin,'
authority to v olete once,cal the provolone at 0.R I UI x n to 0.I law o'. 1 1 truCi on o he
performance Of construction.SEE REVERSE SIDE FOR REQUIRED INSPECT] S /'/{J' Pembina i
DAIL OF APPLICATION 2_T. __SIGNA IUR,. APPLI �{ I[sn l rMech. 00
SPECIAL APPROVALS SPECIAL CONDITIONS: •
NAME DATE
Ne.nh 3�ow iere Plan Cheek
'intoe ',cp/
SEPA
1.Ire Mereull5
Mobile Name
e.Eaelnlar
Other IEP CIIT/
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INSPECTION RECORD
OWNER LOCATION .
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION: 6-'2/`��` G`
SET BACKS
DATE REMARKS:
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