1985, 04-29 Permit: 82A-9737 InspectSAN N�arRa
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
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DEVIGNER
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CHANGE 0
now
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL Nur.eERrs
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❑ OTHER
CERTIFICATE
of EXEMPTION
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Ietw ta+nfv roar I nave read ., a ekamined this application and have read the 'NOTICE- Provisions included
on revene aide, and now the sat to 0. true and correct. All provisions of laws and ordinances governing this
ne OT swot 1l he comMed enth whether specified herein or not. The grantin of a permit does not presume
to give leathern, to notate or Cartel the Prwisiau of any other state or local law regulating construction Or the
lurlorrnwce of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONN �'-
/0 /, 2SIGNATURE Of APPLICANT,;•C
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.P*L CAT,ON
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FEESCOLLECTEO
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Plan Check
SEPA
Kathie Nome
Other ISp.odnl
TOTAL s 20—
NNEN MACH
POAL
VALIDATED IN TNIS SPRCE,
INSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE
REMARKS:
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