1983, 02-01 Permit: M82A-1601 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE EMARKS:
VLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTME,r.OF PINLDING & SAFETY
NORTH Sit JEFFERSON / SPOKANE. W AaMIkl.TON 99..l(5017454-3675
fWLnMITNUMBF�ki
Pt/ I b- -5 - I (r%C' I l
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET AOO.Eta
I. Co, 1212)5
2. LOT I KOC4 I SUa3na110N
mN ER AAs ED r
ot 19'1I'7 I?'WI
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ngNE
PARCELNO.
LEGAL DESCRIPTION:
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East
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i O
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Toto
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vd p.q'e.
PESImrER
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8' ,o7REs3
ZIP
8.
CoLoGE OF USE FROM
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Nda Pd.p/Ndrp IPt...F
TYPE Er EW 0 ALT. 0 A.O.N. 0 RPL. 0 PAVE.
7, OF
WORK O SLO. 0 POPE. 2'6ECH. 0 M.H. D POOL
0 OTHER
mo. Plcon
Fn. Bdeme+l J Polo. ewmenl
No. C.110.06
8.
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SgIRCE OAS KECTEIC
9. u mlEa
PRIVATE
fKEwEACI
0.0.10
PIA. 0 Prhoto -VY-
PIANOMwN
1 hereby 0.77Ry IMI I Pa. read and aeenened 1ka IOPII4lion and MW read ILO 'NOTICE' provt.lona Included on
*west 01 ordinance. govprnIng
his typo
7104 and aru)d 1111^ «MIM. apac111ed MrMrN. OE PA. The granting sOf • permit does not praawn.lto 910. u'
77I. M NI.Ot� d tale or • Md r e In construction AIM performance
oI c ly to V7Aata ( canal tnp prpvialm A 17. INSPEC ONS Nr t 0 cons r
of conamuctK.l. SEE REV F' RE• R -
SIGNATURE OF
OWNER OR AGENT
SPEC AL APPROVALS
w. rw. w
ATON
pre
From.
untopp
SFe
NDITIOrISt )SEER ' . FOR NOTICE)
FEES COLLECTED
SEPE
MFG. Ile.
dnrr OP..)
TOTAL S Z�
WHEN MACHINE VALIDATED IN THIS SPACE.