1983, 02-04 Permit: 82B-445 Inspect •
INSPECTION RECORD
OWNER LOCATION
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CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE • M-ARKS:
7�Y ,
•
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meEa APPLICATION/PERMIT S""_1"l l
COUNTY—BUILDING CODES DEPARTMENT 1 I
SPOKANE
NORTH at1 JEFFERSON/SPOKANE.WAIININOTON nxo/MOM 4.14-3016
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
-T.S LEGAL DESCRIPTION—SEE ATTACHED Cu• •2COC
ss 1 _�7
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a. , 0 OLD. 0 fume. dreeco. O....E O ROOF D o CERTIFICATE
ER T IFICT To.l w.. I R.r r.,AmX.
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o SCRIaS waste En"In.o«C L''''''I'A.m1 FEES COLLECTED
VALUATION SOURCE DAS ELECTRIC ANTES SEWEa -USE CODE
OF
TILITI[ Puenr❑RAN.0
Single S
I Iwt.ov certify Aut I have read and eo n.I,•A Cu application and have read the"NOTICE"provisions included
On Ode.sod loo,the same CO he nue and correct.All provisions of laws and ordinances governing Cis ..away
b We of workwigwto complied with...TN rMciTied herein or not.The granting of a permit does not presume
to give w.Iwriry tD•idan or cancel the provisions of any other state or IoW law ..ting construction or the
perturmance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION l l av
DATE OF AM/CATION'lizry / 1582•SIGNATURE OF APPLICANT _ ,EQ�Y fA'eh. "2 O.Chp
YECIAE ArMIONALf SPECIAL CONDITION. Nen Omen
NAMt GATE
•
nm.NNW, SEPA I
AMON Noma
• I.. th•. Other ISINciTel I.
woo,.. TOTAL SPO ar]
�� m•' WHEN MACHINE VALIDATED IN THIS SPACE. I
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