1982, 10-21 Permit: 82A-9882 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSEW FINAL INSPECTION:
SET BACKS
DATE REMARKS:
aarru�.EaiIVIV/MENMIi If _.--. �n�,�/
SPOKANE COUNTY—BUILDING CODES DEPARTMENT /I Q2A U-` Z I �Ci E
NORTH ell JEFFERSON a SPOKANE.WASHINGTON eeasD/leoel Pea-fats
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES
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OwLEGAL DESCRIPTION-SEE ATTACHED ;�A; ,l.,�u
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Valuation 011e<�..�•sOe.Ft.Etwaw
6. CHANGE Of USE PROM Ito z�P MwrM o,D.xlr PP.r mNR«Amman.e,.•
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i °f PE O qOK ❑xMe. E<H, ❑MH. ❑POOL ❑OTHER EnYmER EXEMPTION
WORK of EDxEMITION[MEC AOK rP,
1.1. Location IAIMI FEES COLLECTED
e. W a6,ue ES�S.cAs,j E E Pu I w, t.al use cooE'
9. lI 4i 1 MOP. a❑I
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<reby Certify that I have read and examined this application and have read the"NOTICE"provisions included
Len tai.t si,ds,lIandhe know the to be tote and correct.All provisions of laws and ordinances governing this BiOidi,a
tvoer of no*end comWied tame
whetherspecifiedherein or not.The granting of a permit do.not presume
to tire euebde to volare or Cancel the OFceis;ons of a,other state or local law regulating construction or the
orrfowewe ea eewstrucNon.SEE REVERSE SIDE FOR REQUIRED INSPECTIONt„.. Numb<
DATE OF Ae.vrooIDN/0-2D-o l SIGNATURE O.APPLICAN ' a ""!Ir Me -- ..o..-- ..o..
SPECM/APPROVALS SPECIAL CONgTIOse.
wean DATE Plan Check I
un•
SEPA
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.e.Ememp Omw ISlacIld
.r.�...e. TOTAL SZD-e..)
Te-.E.emnM MIEN MACHINE VALIDATED IN THIS SPACE.
ee eR ceeemm THIS BECOMES A PERM.,
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