1983, 10-20 Permnit: 83A-9199 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
N SET BACKS W FINAL INSPECTION:
DATE REMARKS:
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GLEN NUMBER APPLICATION/PERMIT PE MIT uMel�q
SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY 3f\'77 11 •
NORTH III JEFFERSON/SPOKANE,WASHINGTON H2SO I ISM ASS-MTS
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES 1
"MA.00KESS ` PARCEL NO.
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pS,SON LEGAL DESCRIPTION:
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DESIIGNNEERT NroRE Nan Hew.wwlm lenseeed yar.INn Tate Mae_am.Ar. l
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ruwTroN ace j TR" :iAn wo FEES COLLECTED
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eoy earthy owl t naw read and exermnsd Inn apPliuhon and Pare read 1M'NOTICE'Provlsims Included on
...woe aid,eNd knew IRE None to Pe true and correct AR per N Ons of taro and ordinances governing the type or vs/v ���
v..M spooled WIN awlher SOaciPM harslet a net es The granting ala permit donot Presume to give au-
tnplty to*toor cancel to erovs,cd apHato or local las regulating oonstrucllon er the o,,,,,,,.,c,. •
ut conatructlon.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Fan ON.
DPTEICATION G�/p //_(Z/
SIGNATURE OF =_,Q., ✓`/// `�i
OWNER OR AGENT , !
100
`—�C\
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)/
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SARIN* / WI
TOTAL S
tee•
WHEN MACHINE VALIDATED IN THIS SPACE.