1984, 01-18 Permit: 83A-9588 Inspect INSPECTION RECORD
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PLAN NUMBER -- APPLICATION/PERMIT MNEN
1 SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY I Pro NU9SS
NORTH III JEFFERSON I SPOKANE,WASHINGTON 1/0140/(SMI ASFSIPS
APPLICANT:COMPLETE COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES '
1.
STREET ADDRESS
`12n f LB1h PARCEL NO. 7.67.-7.-°°'4
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OT I KUC.t WOON.N0.� LEGAL DESCRIPTION:
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ScMr141. , 179 Ja.G.r
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Yt 1 6D 133 9os(D T�......
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TYPE G(II�W ❑ALT. 0 A0.14. 0 RK. CI PAVE. w. Po.Pimp .Er.Popp* o..�w.M
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❑POOL ❑OTHER 4...ou.w.-.i1ANw.e .D ..,o
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RR LOT1 FEES COLLECTED
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I I..r.gy.erlfy to 1 i Nn r..1.I.0.00.010.1 Mb ppllu0on.M Mw r..0 the'NOTICE'provisions Included on
reveres*.MN M.The game lege RM son=noel.AR provisions of Nr..M ordinerle00 governing inle type of S t1
..L.LA AL—*pew*AIA.n.M.er KeoMmt gem*se not.The granting.1.permit 0o..not Meson..to gN..u-. ."*"
IM11y M.HIN.M MOON 11..M..1.IMR M Mry Mn..N.1.w HMI N.r.gul.11.g a,01151ti00 erion..rterm.np
M.p.MMs1N..EEEREVERSE SI�F9.REWIREQ INSPECTIONS f1
SIGNATURE OF /' `{ APPLICATION
BATE 9- 7-B".5
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OWNER ORA we 1 .
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICEI
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