1981, 06-05 Permit: 81A-3015 Inspect ti
TVSPECTION RECORD Js.
ADDRLSS
DATE REMARKS
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INSPECTION RECORD
CIRC ONST. E. 11307 j 71h
OWNER' LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
8/14/79 FRAME /‘-2 9 AZO T D /e?`.P „`
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SPOKANE COUNTY—BUILDING CODES DEPARTMENT 181A'ads'' •T
NORTH ell JEFFERSON/SPOKANE,WASHINGTON DOUG/ OGI ase.28Te
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
-sea ADDRESS W
± .9'D=7 3 7 LEGAL DESCRIPTION—SEE ATTACHED 02 a SG 0;
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PARCEL NUMBER .SQ 0-
Z / /.. i n`... ,. 9...d ei• NUMBER'.3.3..5-414 ,.P�
"a,G_ an.,,.t7Z E oT/ CiGK/ T OCy MAKE tiND ADO eSQO•D�f
Diane —p /J 0 92L463! F A Q,00.:
_P•//,07 37 Zk ae L �nNfn'., 9?-2-0,-
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PHONE IOeOtK4,,' .
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ADDRESS IIP 76,9 ,~.,.
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CHARGE OP USE PROM ITS of Decks I PlnIRlad Samment 1 unlln.samm.nl
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I hereby certify that I haveead`end examined this application and have read the NOTICEprovisions included •.
-GR's of slily and know the came toe true and correct.All provisions of laws and O rd ndnces governing(hit y/ OD
.tywo,lorkwIll ha plied with whether specified herein or not The granting of a n t does of presume EuIMin.
MS,ENI IDMEof to Mobilo or cancel the provisions of any other state or local law'egoist...0co strllsrr��//tion the
W IIW t>fmWttl SEE REVERSE SIDE FOR REQUIRED INSPECTIO 'rZ��
Plumbing
DATE OF APPLICATION K—z5—.P/ "�
SIGNATURE OF APPLICANT Mck h.k
SPECIAL APPROVALS SPECIAL CONDITIONS:
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Ran Meek
SEPA
PT r a
Mobile Hama
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3 /i 2416Oe lSpeciry) •.
DIJslat
sExam... TOTAL i�
T• /IL e.-1.-•i...M too Nov ki.
WHEN MACHINE VALIDATED IN THIS SPACE.
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