1983, 02-03 Permit: 82A-2418 Inspect INSPECTION RECORD
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APPLICATION/PERMIT Y /I[/
.H FJMeEa SPOKANE COUNTY—BUILDING CODES DEPARTMENT h I« �VM 4" is h��XXX///rr•
NORTH SII JEFFERSON r SPOKANE. ASH/ACTON PP 360 1 Inoal.ea-3.111
APPLICANT:COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES
LOT ADDRESS,.loch 11.1 '9 4/ /� nARLECAL DE'^RIPTION-SEE ATTACHED 06• •I60C
SOT O ERs •1600 A.
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ADORES if // J/C�/ f{' E l Actual EA P ••000E
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1 her ebv certify that I have read and...mined this application and have read the"NOTICE"provisions included
as reverse tide.04 know Inc same to be trueand correct.All provisions of laws and ordinances governing this
evneolwork will be complied with whether specified herein or nol The gr ting of a permit dps not presume Bvibl�p
W give authority to violate or cancel the provisions of any other state or I 4law regulating con or the
p.rlormance of construction EE REVERSE SIDE FOR REQUIRED INSPE TIONS construction Funwine
DATE OF APPLICATION N AA-1-- SIGNATURE OF APP Etr S.
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SPECIAL APPROVALS SPECIAL CONDITIONS: k]
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