1982, 10-21 Permit: 82A-8675 InspectionNumAER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH AI I JEFFERSON / SPOKANE wASNINOTON IMMO / 16091 6663616
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
,08 ADD
2.2?T /t.L
3. IIV --i ° ICY 92X- 1E,0
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NOMBEA/S
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I hereby certify drat I hero read and .o.m w bled this application and have read du "NOTICE" provision) included
• r tide. and know 111. tam. to b Mot and corr... All provisions of laws and ordinaries governing this
reverse
• work wi11 b complied with whether speciR.d herein or not. The granting of . permit don not presume
to pipe audlor ty to yidau or c.rc.1 6v provisions of any other tut• or low law regulating commotion or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTI S
AT
SE
CERTIFICATE
of EXEMPTION
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ell
NM
O P.N.I. D
US
CODE
OATS OF APPLICATION / - Z y
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ONATURE OF APPLICAN
FEES COLLECTED
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SEPA
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TOTAL S Z
" azp•M� g67*
06. •2CCC
8674:•
CC -24 —B2
647^
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.
l6,
OWNER
INSPECTION RECORD
CONTRACTOR
N S E W
SET BACKS
LOCATION
TYPE OF WORK
FINAL INSPECTION:
DATE
"7—% —?7A?
REMARKS:
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