1981, 04-17 Permit: 81A-3361 InspectUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 98280 / 15091 455.4575
APPLICANT COMPLETE NUMBERED SPACES — PRESS 17 I,I! TO MAKE 3 COPIES
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CERTIFICATE
of EXEMPTION
a D 07W0W It's. / lnum. ol.t. 'Location 7Areel
,SIALLooTTIONI;o5ooI OA LC0T51* I q i. I 000009070. 000DE
I hereby certify hat I have lead and examined this application and have read the "NOTN'1 " ncluded
on arse side. and ;how the same to be true and c I. Al. provisions of laws and m.11l.an.:esr graven ing this
type of work will be complied with whether specified herein of not. The granting of a petite. .1n✓, o jJ1 resume
to give authority to violate or cancel the provisions of any other state or local law re,eir � .., n.Iru or
performance of construe ion. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
DATE OF APPLICATION ok of I __ SIGNATIIRE 0 0 /Wel.IC; •T
SPECIAL APPROVALS
NAME DATE
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SPECIAL CONDITIO :
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REES COLLECTED
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Building
Plumbing
Mach.
Ple Ch k
SEPA
Mobile Man
Other 15900ilyl ��
TOTAL S 2810
PERMIT NUMBER
SIA -334.
02• •289.0,
•289.00 k
.289008
.000 8
'22611
04 -08 -81
s 6479. `
ADDRESS
DATE
INSPECTION RECORD
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ADDRESS
e / .� - � /..!, PERMIT NO.
SPOKANE COUNTY
BUILDING CODES DEPARTMENT
CORRECTION NOTICE
This work does not conform to the requirements of the Building, Plumbing and
Mechanical Codes in the following:
/
,
i
DATE: f? �c
For further information call Inspector
4:00 PM weekdays.
at 456 -3675 between the hours of 3:00 PM and