1982, 03-19 Permit: M80B-0190 InspectionAPPLICATION /PERMIT
SPOKANE COUNTY — 6UILDING CODES DEPARTMENT
NORTH 8 3EFFE RSON / SPOKANE. WASHINGTON 00280 / MOW 8863878
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
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LEGAL DESCRIPTION - SEE ATTACHED
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PARCEL LIMBER'S
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CHANOE OF USE FRO
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No. Rooms No. of Dw.11lnw
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VALUATIONI SOURCE OAS I ELECTRIC
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ATER
CERTIFICATE
of EXEMPTION
num. OI.1. Loutlon (Arm)
SEWER OwmrEUp I USE CODE
Public ❑Prlvat. D
Reat
I hereby Certify that I have reed end examined this application and have lead the "NOTICE" provision( included
On reverse side, and know the 0 be lruE and 1. All rat...nmons of laws and 'finances governing this
type of r work will be complied with whether specified herein or 11 111 The granting of r 0111111 does not presume
to give authority to violate or cancel the provisions of arty nth. (tale 01 iota! law regulaiing construction Or the
performance of construction: SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION- SILNA II /He 01- API
SPECIAL APPROVALS SPECIAL CONDITIONS,
NAME DATE
t
co.Enalnmr
ties
FEES COLLECTED
Sing! $
Building
Plumbing
71
Cheek
SEPA
Mobile Home
Other (Specify)
00
TOTAL S
IPERIACI NUMSER
M ge:B'0
•7.00
07.00
•7.00 .
a
•B00 a
1 890
09-1 5s.-8.4)
s li
INSPECTION RECORD
OWN'R
CONTRACTOR
N S E W
SET BACKS
DATE
LOCATION
TYPE OF WORK
FINAL INSPECTION:
REMARKS: