1983, 02-10 Permit: 83A-813 Inspect T
r
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
OWSET BACKS
DATE REMARKS: - �4,
APPLICATION/PERMIT /,P/ES�"M"/�"UMBER
PLAN NUM lPERMITR_SI
SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY
NORTH III JEFFERSON/SPOKANE,WASHINGTON 55250 115D31 MA-SETS
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
STREET ADORES! PARCEL NO.
1. e•••_ ZNb•
LOT LEGAL DESCRIPTION:
2-71--j—
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TYPE 1,MEW ❑ALT. 0 JAN. ❑B . 0 PAVE. D OTHER Iw.rook,
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=1;"="210, wD wApeR.❑ O
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Ruw.bW.A.f•I E.! ED.R E I .E. "� O..
l HN•oy yrllly IRI l neve owe•n0 eNmined Nos application and have road 1M•NOTICE'p,Ovieions Included on `�
reverpN ill side,and know Ina same IE M VW•M oar t.All provla,One of Wivees•and ordinancgoverning Inla WOG oI eul,avN —
ee wbe complied wltn wMlner sped,.herein rm
r not.T.granting o1•permit does t Dresume to vv.,•u-
1
morny to ANNA.or cancel Iw provisions of on her slaW or lowsl law ragoluing oomOrwIlon or 1M poPorm•nee
elNwneuN
constrvctien.SEE REVERSE SIOF FOR U ED EC ION;'/'�1 APPLIGATIO
SIGNATURE ocr:r � •4 X DATE I AZ/�—s-j-- WM- A.7-.C'''''''7-.C'''''' e.
OWNER ORANr{�£-
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SPECIAL APPROVAL] SPECIAL CONDITION]:(SEE REVERSE SIDE ECM NOTICE! n..c.a. _—
rot,rpm, DAW
INFO.HOT*
6a• we tai
Owlr TOTAL SO.C7
,e. WHEN MACHINE VALIDATED IN THIS SPACE,