1983, 08-12 Permit 83A-7593 InspectPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH II I JEFFERSON / SPOKANE. W ASNINDTON Pe]60 / (5061 s56-3675
APPLICANT: COMPLETE NUMBERED SPACES —
MEET A000ES$
1O 1 - 47. L I'1 F10 W E
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2. �} 11 SA Sr..+.rnan
OWNER
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CONTRACTOR
1• ApOREa%
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OEirORFR
5. A00.05
'LICENSE EXPIRES
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PRESS HARD MAKE 3 COPIES
PAR,_Y N0.
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LEGAL DESCRIPTION:
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Sim el P.r4
ZIP
I
N.. Carl. Venal.
OVA Ori b Os*,
500000.Ovwu.4.1
Car ANGEOFuse FROM
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TYPE 0 NEW 0 ALT. 0A0'N. 0 RPL. DMVE. �
7. WORK 0 BL0. D PLMB. D MECM. D M.M. D POOL EITHER
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9.
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1 herepy RerlRY Ma1I Mw read and esamlned INN apollctIon and have read the •NOTICE. provisionsIncludedon
revR 5Sid11 SDd krovl INe same 10 De true and correct. All provisions 01 laws and ordinances governing this type of
work NAN be oomph'. with whether specified herein or not. The granting of a permit does not presume to give S..'""
malty tpvb4le a 0Apma
nl e provisions of any other state Iocal law regulating construction or the performance
I Om0se4la ieSEE REVERSE SIDE FOR REQUIRED INSPECTIONS Mane.
Aare 0 NN.I. ❑
SIGNATURE OF� s+ •
AIQ!(1
OWNERC Ant.-Nr t=�� ✓ / ,: DATEPPLICAT=;1. �O /5,f, kyfl.
SPECEALAPPNOVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE))
lrteA rwr w8E
Ann Ln.a
w. Rwr.e❑
FEES COLLECTED
'EPA
stouv/
reFO. sewn.
TOTAL S 1a0
I PERMIT NUMBER
83a • BSc
02. •1000
•10008
A •000 8
759.24
08-10-83
4 6479.
INSPECTION RECORD
ADDRESS
DATE
REIva KS
Ree
SIL2. d9,t; r 1 (l