1980, 12-23 Permit: M80B-5190 InspectINSPECTION RECORD
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OWNER LOCATION
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
�ia
N NDM.ER APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 1111 JEFFERSON I SPOKANE, WASHINGTON EED00 1 160.1 .663.76
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
ns ADDRESS LEGAL DESCRIPTION
— SEE ATTACHED
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PARCEL NUMBERS
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OWNER
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ADOR tu.l Stt B.cxf In FM
S. th Last
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CONTRACTOR ONE ul ion.
ClafNllutlon
ADDRESS ZIP CC.Pa
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D.aIONER PHONE BYIMIM Arw In BE. Ft.
6' ADDRESS .11 oor Uaoar F-1.
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CIUNOt OR UaF FROM TO Dwk. InINp B..
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o. Roomf No. al7.
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XEMPTIONDESCRIBE
WORK put. outlon (Aru)
-LECTRIG
FEES COLLECTED
WATER SEWER YBE CODEg.LITIFS%IY.t.
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Sirpla i
I hanby artily that 1 have read and examined this application and have read the "NOTICE" p—niont included
verse side, and know the same to be true and Correct. All provisions of laws and ur�linances governing this
typeofwork will be complied with whether specified herein or nor. The granting of a permit does not presume
BuiMiw
tG, give authofity [o violate or cancel the provisions of any other state or local law regulatrrlg construction or the
periwmenca of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTI �YS
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DATE OF APPLICATION SIGNATURE OF APPLICAN
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MCIAL APPROVALS
OECIAL CONDITIONB:
IUM. OAT[
Plan Chpk
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,NEPA
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Mobil. Ham.
P517�
�4k
04.
.700 p
.7.0015
A +000 £
5189?
12-23-80
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