1983, 05-12 Permit: 83A-3654 Inspect T
INSPECTION RECORD
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fr.eN NlIMtltH 1APPLICATION/PERMIT
PERMIT NU
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/y SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY ER 3
C% NORTH SII JEFFERSON/SPOKANE,WASNINOTON MN/NDE 414311711
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
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1.0- I. I I 15 114 PARCEL NO. Z 3 5+1- —
2. i; :" y N Gltext.N'h�-8 I-70
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D.OtIT- TYPE.4bV0 ALT. 0 AO'N. 0 OPt. ❑MVS. O OTHER 2DSD. D PLUS.O MECH. ❑LEN, p pppL fin&oanon. 1 posse ._Ow0
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NA..p FEES COLLECTED (�//
1 nosy corms 1Mt I Mr.road end es.min.d In...Pleatlon and have read le.'NOTICE"Orwl.lOn.IIAIMead on
mer,.loo.end anew the same 10 N.Ave sad Garr.All GrMNbne e1 law.and ordinances apurnlno Into lyp.Oh
plop rIN M P00,11.e with w5M5.r.pes.11.d swum or not.The p.nllnp al.permit does not presume to ph/4 ay_ ..........
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ry to MNI.I.to carrell the provisions I ray other stat.an load lave regulating construction Or the ft10rn%non '\
MCon trItElI,.SEE REVERSE SIDE FOR REOUIREO INSPECTIONS
SIGNATURE Oi /� Dona, \
OWNERO"RE ENT"Ey , 134.011))„ ADAPTEICATION,/y/�3
SPECIAL APPROVALS SPECIAL CONDITIONS:)SEE REVERSE SIDE 1OR NOTICE) N�
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Sea TOTAL S,—(0—t..
( e....,.s. yif.• _ ___ __._ PERMITI WHnMwCN^NE VALIDATED IN THIS SPACE.
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