1983, 10-13 Permit 83B-335 InspectPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH s11 JEFFER50N / SPOKANE, WASHINGTON 9026011500) 655.3671
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
PERMIT NUMBER
g3Ff-33r7
SoeDIPMON iJ7R/ti
PARCEL NO.
LEGAL DESCRIPTION:
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PHONE
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fro
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TVPE ONEW 0 ALT. m0'N. O nos.
T• OF
WORK O BLD. 0 PLMB. C ECH. O M.M.
❑ MVE.
0 POOL
0 OTHER
C•1111. PI vv E•eM.
No. FAA
B. S,taA 644.f„
ficll/ifLL�CPJFI n—L2LpC�
ws aASTrec (� V^ Eo
4.)17.277Lli�
SEWER
�FH. Opprnonl j0N1n. o.ew..n,
I= w0
Rumn.c N.D
.e0 App..
❑Pm.N❑
t Mlq certify *.1 how rod and eavM.d VIA sppllul)on and hew rood IR. • NOTICE' prwl.lons IncIudo0 on
mesa oldo. And know this memo to be Rae and oort.ct. All prwl.lons of laws and ordln.oces go.srnln,/ this type of
srl. :ell Re mm5Nd o0E wnen.w .d 0N.0 New* or not. The gremlin,/ of a permll does not presume to give .u-
Rsity So .lererev cancel tM 0.o+l.iw W ores olhar stale or kcal line reoulall0g construction or the performance
•o..ateectgn. REVERSE SIDE FOR REQUIRED INSPECTIONS
StGRATLeFE OF APPLICATION
OWNER OR AGENT :Anne LIB / DATE - IIJ�Z�3
SPECIALAPPROVA S
ale. FINAL o•
..••••
P CIAL CONDITIONS: (SEE REVERSE 510E FOR NOTICE)
ejC2
ne/Fli F (/ //
roe O.eHp
PHe Rwre.D
FEES COLLECTED
0.n.r0PNtnl Q
/U r
TOTAL S
JD. •tt00
330
A479
41
I WHFN MACHINE VAI I DATED IN THIS SPACE.
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS:
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