1984, 04-16 Permit: 84A-3270 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE MARKS:
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(PLAN NUMBER APPLICATION/PERMIT Ilk– 9L7O
SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY
NORTH IEE JEFFERSON/SPOKANE.WASHINGTON HMO 1150114S6MTS
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
VALET I.000€Ess/ pr(1 r-�a... PARCEL NO.
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I hereby unify Inst 1 have read and examined rola&pollution and have road the•NOTICE'provtslWW Incl0.0 On
es std&.and know the esma to b true and correct.All provisions of law.and ordinances governing this type of luaelro
..gra.IN...mooed with whether specified herein or not.The granting of a permit does nos presume to give au-
thc&Oy lo vlNta or rant*.the provisions of any other state or lout Ian regulating Construction Or the perlormance
of construction.;EE REVERSE SIDE FOR REQUIRED INSPECTIONS K...r.
SIGNATURE OF APPLICATION //_/O-r /a
OWNER OR AGENT A:I-.—��- GATE 'Y 7 (C
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
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111111011111 6--,¢5 11209C e.
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1.... NUM TOTAL S r5,-0