1983, 11-09 Permit: 83A-4951 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION: /i`7-1
SET BACKS
DATE REMARKS:
_ 6 c� «rS't?v/ f s, 1-11
A erg- CM /9 Pre)
1 .
.LA.N„Y•t• APPLICATION/PERMIT /11 _`ER
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/ SPOKANE COUNTY IN BUILDING CODES DEPARTMENT ��
5 1
MORIN NI..•s COUNTY
f efo BUILDING
DES
APPLICANT:COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES
No AGOALAS
'/(yy(J���LJ�-'1 G( '11-4S.• LEGAL DESCRIPTION-SEE ATTACHED
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y2-A-,--.1kt1'-3., °Poc° , •.II,.Oon D...0...•N..L •20000
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A •000 8
N.A.. P NIA f.... I I,•...[ .P.ANA I .t..•. 4950 t
CANAero.of USE fRON ITO Nos of C.w I fin..•...I.,.nt l LIMO%.......1t 06.07-83
IL Ew «s•.tM .«. «.w..e.w�`.f D-«I..•. t 6474
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{ 0.LT. 0•�o..�Ow.a. 0we 0oT.... CERTIFICATE f w.,d w.n�
7• �R« 0 ALO. 0 w.o.. y.cl:.a 0.L«. ❑.oa. EXEMPTION
w TEw KNEW NG.... LSE CODE) FEES COLLECTED
a 1 •• AE. _
W On�O �Sw •/.s `Twit �I«ON.N.t.0
t. II .
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1 panto,p lih that I have read rad examined this end Mw reed the"NOTICE"prw4n ioincluded
an MINN.ids,sod Edot copNon e tam•to Co true and correct.MI .w1iont of wt and erdinrrY oovernloo mlt ...
type of ewrrk will be complied with whether specified herein or not TM Wonting of.permit daft not proton..
b 11Ne.m„,,,to oiofo,or oonod de pafitlore of the oder true or local low reyleti corwttoction or the
perltonfano.of cpmINICDO LSEE REVERSE SIDE FOR REQUIRED INSPECTIONS
PhattaIne c CATION 161(p if3 SIGNATURE Of APPLICANT
DATE Of LI U
I(CIAL NAME AIT SPECIAL CONDEMNS: PLN CNN
1
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NAM( DATE
N.N. tFPA
•N•• .Mw.Naar •
•• .... 011r ISP.clhl
',ANN TOTAL E_..7...2'_ :..,.