1983, 05-03 Permit: 83A-1872 InspectADDRESS
NSPECTICN RECORD
PLAN NUMBER
APPLICATION/PERMIT FFFi1TpOC(9FIf
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY 183.x- 1512
NORTH 111 JEFFERSON / SPOKANE. WASHINGTON *0000 I ISOSI 454-0416
APPLICANT' COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
stet El •oDRtss� Il 901 n^¢o
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CEOAL DFSC0Iv1ON:
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o
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/ wORK Soto. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
P 00 (5*0 I RN.* r O 1.0
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9•
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10.1.09 00175I3N 1 neve read .70...5010.E 101E Wplka7Ion and here read 00. 'NOTICE' prOH.OR. 17010OW 041
Nnrs• •ICe. 504 L7o. the Mme to he trot er.E correct. All provision* of Is.'s and 01010.1(042 900Prnlrp 101. 17171. of
.111 W comp1 0 *RI, .MtMr .71.0114E herein or A4. TM pr*7079 el • permll Sow rat presume to pH* au.
,..,..“,.....,• uncal 7M prP*H.aM of 04.9 other *Isle a local 1*. r*pu1.Ilnp oone ructlon or the pMornunc
4co0elruc1lon. SEE AEVEr SE SIDE FOR REWIRE 1NSPE TIONS
SIGNATURE OfAPRICATIgN /,-,_ y.t
OWNER OR AGENA QIl(t'i H DATE 7` f( 1
SPECIAL APPROVALS SPECIAL CONDITIONS: 1571{ EVERSE SIDE FOR NOTICE)
•.1111. elf•/ D•rf
�1R
•--••••• •• 040..40.0 SFERASI E
FEES COLLECTED
f To•w
eA.e.
Mon Canica
G4r OPaYr1
TOTAL S P0,cif)
02• •2000
• 2000E
A •Cf,0 0
187195-15'85
r 6470
WHEN MACHINE VALIDATED IN THIP SPACE.
THIS SECO/AEI A PERMIT.