1982, 11-02 Permit: 82A-9165 InspectAPPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
Monrw all MIPER.OM / 114•010MM, WMININOTON oaten / MOM • -3e7S
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
/OS AGGRESS
1 sur ( eLiC(Soe • �lilO N3c
7. I
owwER
1
ADDRESS
r *3'50Q was
CONS eACTon
4. PrORESS
Lo
LEGAL DESCRIPTION — SEE ATTACHED
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ZIP
un_ 91.07. I A. Ar..
a
0,0000°, USE 9NOM ITO
TvNE N(o5* 0 ALT. 0 ADM. 0 011. 0 MVS.
7. or
woAA 0 SLo. 0 our.. E21445054. 0 KM 0 Pool.
0 07,001
M50 04000. LIMN. 55500.0* I 0000. 4wmnr
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00.011.•••
CERTIFICATE
d EXEMPTION
DESC RUE worm
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SOURC` Ga ELECT.. •E...
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I Mra00 certify dot I Mw road end E*Eminod this application and ha.. nod 1M_ -NOTICE' pro.l1nn Included
on e sift and know 1M b O
sorw to w and correct Nr 1 pro.lsiaw of laws End ordinances governing Enstype 0onf wag will h. canpli.d with whether opodflod heroin or not The panting era permit don not presume
70 5100 outhalfy to Eiden or cancel the prai.io. of ono other sow a local law regulating Instruction or the
peer/onwnct of cont0000n. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS, I 3O
GATE OF AnILICATI ) -�— ?7,91I0MATURE Of APPLICAMT ill� OS S1 111 V tine
501
FEES COLLECTED
ono, t
Pion O+ek
CEPA
wow Norm
Other IEPwPr
TOTAL
S2g42
1)
PERMIT
%ZMSEeltbS
C4. •2C00
•20006
A nr90
9164E
IU -04—P2
! 6479
*1155 MACIIIME VALIDATED IM MN SPACE.
TMM 1SCOMEt 1 PERMIT.
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: /i
DATE
REMARKS:
118/ /,%i� Jam' -�f,.F ,i; �: �a14Gs�7 �1�rlf�r 7�� Y7J vi'✓ 1
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