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1984, 03-13 Permit: 84A-2097 Inspect Y INSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK NSE W FINAL INSPECTION: "" 2 . Y SET BACKS DATE REMARKS: "") - 3 --ey A%" /(.z ( ?_ y cifir 6-(V.--cPy 0"- /.1 , T /-Gi , /6 C , -.20Z--5-V Ca O / T • • L IP+rrl.IIE„IStara/rr_nlnaI I �MbLH SPOKANE COUNTY— DEPARTMENT OFBUILD'NO&SAFETY l .ZOG7 NORTH ate JEFFERSON/SPOKANE,WASHINGTON"ZOO I MAI aSMMya APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES sfsn AmNs PARCEL NO. ,. . 12021 _a`{T� y23 1 - ,o, 2. ^q K3A l 11SAI t-ot s 2.'19 jk07. tram.DESCRIPTION: 3. I �/q_ . �rJ.,'. 627.-1°77 .n E ZNG 0... IS I/� 1 K LP w-wuIYE.A.1.4.1.: __. ��((nn V N I.. 72 E.Zo I 15 a. NTV 21P yam..J[ 05 'Jr.F/W1, ( y� V�F1j PMI De. 0. DNw•.. 013.1401 ...o..E 0..01... Mn.�.w.rw. Ia.Ow 62• •382(1(! s. 63 ¢7 ..O,.E. r. N.,,rm `1.•p.sm. �c..Nl. z �c..14,.... •38200'_' •Id as IStD .n •not ...St o.use Pito. (ro w,,,.� - e / 1 lo�i8 as; TYPE P EW DALT. 0 AWN. 0 R.I. D SAVE. ~' IN°'f1p�' No. ,p.,.q.y. /y03-LU-R 7. OF rWORK f7 ELO. D PLM(I.D MECH. D M.N. D POOL D OTHER �N... _ 1 . E_O .O /�� y 6470 pE.twef Wows - Ib.. y..0 .0 ,�// .� e. .a I c.-nlC.c. G �." '_o o ma°.ate /124 9 Vµwr.1. VIM.. bAs VAR. .xV rE. iim.0i✓ Rroi. n+•.D .../ FEES COLLECTED I N.r.oy toddy That 11a•E r.ed and.05.010.4 MN appONatlFI and hart read the'NOTICE'provisions Included on HCe,ornone.IM Nwat)MNVeend srreq. provision.grantin of perrnnd ldoese.nt presume to a,.M. ZO..I_ Oa,11.0 will.11.0 0,u.c.Id .M,Hr.palled y other r not.The al I...0I•1Hrmlt does not p r t,.p I.V.0au- 00 —'L/!/ tco I.Tiecilon..r COV RSThe SIDE My'JOINS INN a locTI• 1..rapulallnp an.Irucllon a the per 1prwanu N a.nanNctq.,3. REVERS SIDE F• rOVIR DIN TI.NS // w,Nwq SIGNATURE OF •�/J ' ' I 2( APPLICATIOIa'j OWNER OR AGENT./( DATE ��l/ swA. __ (V SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REZERSE SIDE FOR NOTIC I V' ....n14µ 0.TE Ft,b.� �._n III.' I�1,1c(NcE-IRPNI2Zgyrz SEPA P.w... AtiO.i;n. r. G.•.. V•c.iia 6,.M. ok. PI„} F-,-,e .,n."w_ � t. �vo.y 3/p��j TOTAL S "—` LL IT 1 rT *ye.,r ,e WHEN MACHINE VALIDATED IN THIS SPACE.