1981, 12-23 Permit: 81A-4225 InspectADDRESS
INSPECTION �1`4/ : 's
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DATE Rei 1ARKS
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APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPART MENT
NORTH ell JEFFERSON / SPOKANE, WASHING -FOP 941360 / 150411 ahfi-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS 11.130 10 MAKE 3 COP,. "
.,.{,e/7,n
4,1 ,: G ,:fLEGAL
DESCRIPTION - SEE ATTACHED
2 �L OM"N 4* 2 zr' az
PARCEL
zL OF
ofPHONE
3 74'IJsi 9,-_RAU,11.- 04 -NAL
2.2.8,_ .9.,m?
N T OP .C.-!,- OF rRA'T /417
OF SERA
ADD ESS
ua In F
e 7i'
El�
CP NTRACTdR
4, prvHL� '
PHONE
sir
e of Pavel Zone Classification
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IP
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of
V -N I R-3 na :lye, ❑Ne 17 Reg,.
DESIGNER
s.
PHONE
V• Building sng Ft
34. sia6" as'
-AOORE,
ZIP
M oa a I St a•
'
�u�,
CNA PE Op WIC MIENS TO
E`'
CIa Inlanad Sawn. n.o arnt
SO ✓ncorryOP F nIl7 7.
TYPENo.
I. OP pt NNEW 0 ALT. 0 AWN. 0 RPL 0 MVE.
0 OTHER
o
Ea Storin
/ N/
n Rooms No of Dwellings
WORK V ELD. 0 PLME. 0 MECH. 0 M.H. 0 POOL
CERTIFICATE
of EXEMPTION
R•a d rRec d. rot Rao a.
I 11
,,jjqq((¢¢SdCRIS€ ORK (uy� yyqLLL 1,tl
'v7I1Dw �'-' 4 PA
+1
on 1Areal
Enenry H. OeUSE
FEES COLLECTED
09 GAS EEC CATERana
EE SOURCE II !L[CTNIC
3.512
E.y� TILITIES
SE
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COOS
Public s11,1,a.
I hereby cattily that I have reed and examined this application ami I.., r 1,1 �IIs IL II
on side, and know the s me to be Poe nasi col All i tits, mei �� ,,I ��
type eofrwork will he complied with whether specified herein or IIre . Illy,,I 1 p. ,,,
II I r `�n�l i,
to give authority to violate or cancel [he pro of any other e .. I.e !' ell .• , II ,m ,I
perfotnonce of construction. SEEREVERSESIDE FOR REOUIREDIINSPLC I IONS
g 91 S
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Plumbing
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,ATE O0 APPLICATION 1-4`p"/ SIGNAI UHC or A 1 �N`W7'7T
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
Plan Check
SEPA
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