1983, 09-06 Permit: 83A-8290 Inspect .1&-*M11116
311SPECTION RECORD
ADDRESS
DATE REMARKS-
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/LAN NUMBER APPLICATION/PERMIT -PEP-MITT-0-4 I
SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY 63A 8zg o 1
NORTH FII JEFFERSON/SPOKANE.WASHINGTON PPM/ISM 454-317S
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
e Tot IT POOP.{{ PARCEL NO.
,. L_,%ecV1 33'.9 ?T.-ep- 33•J91_L1 M.G
1 KGGI dLEGALOPt
ESGRI10N: 0c c:CC
2. ST I WI -2 ET1•P..-..,r.c 2-."''.l •'P000`
O.rNFR P..d:E
3. FL,N n-I C1.«:1. Qz$'534e A •02
L•OLOA auONEY ZIP ^dJ(.SE16.A.In Fel le.
5 1 vYtO..nw.F PN E-nC we'ZO IE.w w CA.• I E..L N"<i0=
Pa ien.t:IenlIT.O. ,...:weo „ -24-R3
F .NoaEa e I.KxR{F Eae. { Al , 6f arm po.N I o .e y G 4 7�.
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OCAOPAI :NONE rCOW.VNUINn .L.II.n T.0 Pis*..mr...•
s. (A3.^A64
POOREST ZIP iii o IWpm Powe I`agoeir Iaema..
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6, o....pE OVUM PTO. �•M j -A .-G
TYPE WHEW 0 ALT. 0 AO'N. ❑RPL. 0 MVE,
Po Pam .N•-nee.. ma Pio Pos. ...Orley
' T. OFOOTHER
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WORK f�BLO. O KMA.ElMECM. 0 M.H. 0 POOL mn,El.•p.. 1 ...ow v..0or n.O N.A.
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8 v^TION SOA 'E eon FlEcrwc .iLtd SEnit`� .77:,,,.....0„, FEES COLLECTED
TE❑ {EWEA{Y
so,wr11IE IMA 1••••..ad end..a.Mnad ISIS•pplleallen and Na..road 1M•NOTICE•p.orialone Included on
siOA end FM,tM ferny to W Ow•n0 car...All pro.i.lon•of la..•end o.dln.ne.E SOwrnlnp INI•typo el 4.eeo .--,,e.-A...,,,„
-ar
M II M..I..pP S...,w.,ln...p.elrl.d A...IH e.not.TA.a..ntlny of.p..mll de..net Ore..,10 plr.au- `
1100 to.k{a..,w..NM M.p.o.lai NO o1 Fany OIJIN a er Iccal Ow radulalino construction or INe pertOrmanc. ./
el een.Irrelbe.SEE REVERSESI.E FOR REQUIRED INSPECTIONS Plaroro _—
SIGNATURE OF .../ / •PPLCATIO�q'/J
OWNER OR AGEN• .— I -,C DATE rl.J_?S.1,1_ --
SPECIAL APPROVALS -ECIAL CONDITIONS:IS• REVERSE SITE FON NOTICE)
PRELIM.rem. RATE eon d•c.
55..em ^alk •EPA
•wvq laG.M...
Sonne I� `, aI an.r R9.u.N LL
wne 1 / HIV,—01W�S ZE`OCCASF• _
TOTAL S` i'2''1
00..
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