1982, 06-22 Permit: 82A-5214 InspectAPPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
SO
OTON 00360 f 3509) 056,375
APP
(CANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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LEGAL DESCRIPTION - SEE ATTACHED
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CERTIFICATE
EXEMPTION
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DATION
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and have read the 'NOTICE" Prov Bions included
I n retry ectad, t 3* w
I have read and examined this application
x 'de, and know The mc to be true and correct. All provisions of law and ordinances governing this
typr of Pbla,
w/l be canWlM with wt, provisions
fpecitied herein or not Thr n of a permit does not presume
so give wxMari:y to violate or cancel the provisions of any other state or local00.1 law regulating construction or the
natlormR o= cormraction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS ,,
C.:is OFAs'PLtC0Tl0N G _ I". zy�5IGNATURE OF APPLICANT ` fe err"
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NL SPE TI 7 RECORD
OTAL 5 6A-5
WHEN MACHINE VALIOATED IN EWE SPACE: