1982, 10-05 Permit: 82A-6395 Inspect PINSPECTION RECORD
OWNER LOCATION
ONTRACTOq
DATE TYPE OF WORK
N S E
BACKS W FINAL INSPECTION:
SET
p -e-L. boaocc __CA,,,,0 i.„... Ze„...4„..,_,...27----
1110 REMARKS:
APPLICATION/PERMIT et
g��V b.,
SPOKANE COUNTY—BUILDING CODES DEPARTMENT4, 46
NORTwE11.eFFenaON/ere16Aw..ernarereITON aaw I MOO 460,4676
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
.Da ADORESs LEGAL DESCRIPTION—SEE ATTACHED O4• •2000
I. Lor sl.uEisteiUR PARCEL NUMaER.. 63940
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DweER s=NN.ETN • HAw.,E fall GC D42 3120ZIP rH
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Y 6476
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s. ADDRESS
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Cw.wpE OF DEE FRO.• ATO Area el D.E.. I Fe..feermeni UntM..stemen1
i it.. D•T. O. le. 0. 0%IPA rHa. Nd..u. I w...H.. N.ResetA�a.el ow.niro.
C"' la)O.Lo. 0 etMe. �MEc.L 0 Mx O.00L D O CERTIFICATE w AAA, ( . ret Aw•
..
.. of EXEMPTION 1
''EES� .[.60016 [nun.01.1. 1Loco..lArrl {EFS coccocron
e. yy�o yAAA �To .lo wATEA I sews.. MI USE Coo(
9. [Y1"•'E's 1` ,u0.:::111.
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I ner.ny artiN that I hips tad 504.Eamin.d this application and have reed dee"NOTICE'provisions included
on se tide.and know the same to be true end correct.All provision.of laend ordinances governing this (Ugdiq
type 0lr work will h candied with whether specified herein or not.The orientingws of a permit does not presume
to go.Sotlwrlty m violets a cancel the Pto.isions of any Other state Of Intal law NeluteNng Eon.truotioH or the
• orw.ee
mof mmtruct:O5,SEE REVERSE SIDE TOR REQUIRED INSPECTIONS� /N16/...erre
DATE OF AFPLICATIOtK �2 4./19 f Z SIGNATURE OF APPLICANT7!" C•®
srecusa AFMOVOES SPECIAL CONDITIONS: Pan CheerNAM( 0At(
n..eppte SEPA
{Y/ aMr I(F«iNI
Iw,em. TOTAL (2_0 elm,
n• '"T"M WHEN MACHINE VALIDATED IN THIS SPACE.