1979, 12-14 Permit 79-6897 InspectAPPLICANT
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930Z
ofsO NEp
40ORESS
MANOPE OF
COMPLETE
CIRCLE
APPLICATION/PERIIp. SPOKANE COUNTY — BUILDING CODES
DR
NO11TN e11 JIPFEMN W�
ON / SPOKANE, WABHINOTOp / la -' EM
NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES ae'e
q'eMara amminkiiiigakftml
,_ • ®�7F LlNW❑ALT. ❑D'N,❑ APLCIME.�,® ®WOn., D OLO. ❑FLMe. ❑ MFCH: �M.H❑FOOL TOfaap RK & owing -Eli ' of EXEMPTION lallallailli
A T -E i V521� SAS: t __
Y. V(7 e 1 • searw FEES COLLECTED
u a°rel.,
I hereby Certify that I have read and eKtmined thle applicationand have readthe the "N
on reverts side, and know the lame to bo true and correct. All provision. of laws and ordinances
type f wnk III be complied with whether specified herein or not The oroeslnot Included
to fore authesity to violate or cancel the prevision. of any governingtloor this
Performance of conotviolat n. y other Efate or local law re alWnmit doe not prswma
DATE /G . N 9 W •
g con. action or the
SIGN. /
$10 1. S
Rundle.
Au^kIM
Wok
Men falsh
*IPA
Mebllw deny
Other lfayeewry
IS MACE.
F997;
•5000
•5000
•5000
8 •000 8
689.61
10-29-79
! 6479.
G
OWNER
CONTRACTOR
N S E
SET BACKS
INSPECTION RECORD
LOCATION
TYPE OF WORK
W FINAL INSPECTION:
DATE REMARKS: