1982, 06-24 Permit: 82A-5209 Inspect$26 1E;7e/ J
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 4.11 !EPPERSON / SPOKANE, PPASENNCE TON 9.160 / 16.11 4SS SSD.
APPLICANT, COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
ADDR.Si
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4771 E�.<ii�t
LEGAL DESCRIPTION -*SEE ATTACHED
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CERTIFICATE
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ELECTRIC WATEP
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LAE CODE
„ertDe aTbty t a* I nave read and t.a' "wd Me appimation and have rata Al "NOTICE" provision* included
P
ene ids end know Me sane to be true and correct. All provisions of laws and ordinanCn governing this
of wet wtN be complied wM whey.* smelted *mem or not. The granting of a permit don not Presume
gio. memoirs to violate or cave, the provisions of env other state or local law regulating construction or the
Ler lorn»rce of nonsirucoon, SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
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DATE OF aafLKATIION t SIGNATURE Of APPLICANT
ONICaq APPROVALS F£Ct+k MNMTPOPES ('JEA.TSD il} ricia sa2.0:
PRAM GATE
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FEESCOLLECTED
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Plan CnKk
5£PA
M.. H_
Other 400.001.1
TOTAL S
ADDRESS
INSPECTION RECORD
DATE REMARKS
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