1984, 04-18 Permit 84A-3397 InspectINSPECTION RECORD
ADDRESS
DATE
REMARKS
i
41 4„/4,'
�; I
MrrL iL:t►I IUN/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 411 JEFFERSON / SPOKANE, WASHINOTON EE200 / IS04) .04.207E
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
FIORE
ZIP
q - t469
PARCEL NO.
a q .4 I -.210g
ea. eoe le fee Rs
RR. 30 r II.,. ZS I I..I 51 1..., 5,pyr.
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re. nose No. FN. E.na
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1 MreOY artllY tout I nee. road end ...ambled IBIS appllalIon and Nave read INe •NOTICE• provisions Included an
re.W. sloe. and know the same 10 be true and =nett. All provision. of laws and ordlnoncee govarnind INI. type of
Work Will be =mplled 1.II0 *REMer seedbed nereln ar net. TTe grantlnq of a permit doss nob presume to ply* eu•
Pawky to Na1W co anal Poe plone of e to o�A1 vJr quisling con0lruction or y4 pyformena
al=n0lruc1Nn. SEE REVEytt'01OE FOR 004077I-
SIGNATUR
OWNER OR AGEN
MoeET womN
I. • )y�O4 CENUISLE
2.L • FD1i1.AGl%'S rnoella 14-p/ne511g.
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PHONE
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TYPE ,?,/CHEW 0 ALT. 0 AD•N. 0 RPL. 0 MVE.
WORK /s8LD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL 0 OTHER
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90,
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SPECIAL CONDITIONS: IOEE REY0RSE SIDE FOR NOTICE)
5'fons-c
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND V0I0 IF WORK HAS NOT COMMENCED
IN 1B0 DAYS
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bey Ryw,e0D
Rea.. 0
FEES COLLECTED
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Reek
SERA _—
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Ober BmdM �—
J_
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TOTAL S ' -
'PERMIT
NUMBER
33'17
• I IOC
e 6 1. 0
• ,.tr
WHEN MACHINE VALIDATED IN TNIESPACE,
THIS BECOMES A PERMIT.
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