1983, 04-05 Permit: 83A-2520 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE •KS:
71
"AN NOWT. APPLICATION/PERMIT WIWI?NNNEEA
#1 SPOKANE COUNTY—BUILDING CODES DEPARTMENT e,-,g,-2 c�
(1 MOAT.III/E FFFFFON/MORANI.WA[NINYTON Ma00 1 140/1•14-3470
' APPLICANT:COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES
eN•AOD""`� ' LEGAL DESCRIPTION-SEE ATTACHED _
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7• °. D EO 15+.ECN. O.l.. .ODI O*T"'" CEATIFICATF • IF W04. I A�e. r .v&
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I Mnby certify Mat I have reed.d examined 034 application end howl nod the.R/OTICE7 Ro.hlons kob.d.d } u t. '"'f Y n
err OM.end know the.wm to bo true and cow...All prmi.iam of Me.and ordinances governing Mil ms' _ '
typo of work will a corr.pfied with whether rocifiod herein no not Tho or g of•P.m.does not prrnn •
to g 0n otthrity m viola.or carol the movie:one of or•y ether maw no I ...
• pedorro01 a o1 corns O��0PP.SEE REVERSE SIDE FOR REQUIRED INSPEC NS 'od s orAt- .•r w IIIaIKM, /1('-'
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OAT!OF AF0LIC*T10N^`I 1�jC�SIGNATVIIE OF AMLICA . KM.
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PECIAIAFFAOVAI0 SPECIAL COM111110Mg: • . . ,
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TOTAL L/1.
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ATED IN TNILLL...E.