1982, 02-04 Permit: 81B-2652 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK /,
FINAL INSPECTION: - fiG -� J -
NSE W
SET BACKS
DATE REMARKS:
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APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
00000/11 N SFEREON / EPONANE, WAENINOTON MEM / Moat aa.ia,E
APPLICANT: COMPLETE
NUMBERED SPACES - PRESS HARD TO MAKE 3_COPIES
aoe •BDR(s
I. 1� Z13 skf/tlrJ/N
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LEGAL DESCRIPTION - SEE ATTACHED
.ARCLLNIpa1EM 1754.1 _ 17-I5
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5la`-4607
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51416
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TYPE
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& 9. NAL�wor S1ov6
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0 OLD.
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❑ .l... Q rima. ❑ N.N. 1:1 POOL.
0 OTHER
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No. ONa. /ae. HN
CERTIFICATE
et EXEMPTION
1 1Krm. Amen.
i
En., out LwIMn IArrl
ELECTRIC
wATER
MYER
Orw-.a4
...alio 0P,NN. O
USE CODE
.R•. t Rw'.
I tonby certify that 1 Dap( read and MamhMd this application and have read the "NOTICE"'p.o.Illon. Inchded
On Memo. dd., and know ON MOM to b trva and COOeCE All pral.tons or laws and ordinwncW governing DUB
NM Of work 10411 ba compiled with whether IMcilled herein or not. The granting of a pe0Rit don 001 PM1071
•
10 gip[ authority to violent 0, can(EI the proplSlODS 01 any Otto, NMN or 100.1 IEw fRISAIDP.9 Construction or the
p.rMona00A of construction. SEE REVERSE SIOE FOR REQUIRED INSPECTIONS
DATE Oe APPLICATION SIGNATURE OF APPLICANT . f.�
SPECIAL APPROVALS SPECIAL CONDITIONS:
N•N( oATE
FEES COLLECFEO
Skop
SORSA
Nwrroin.
Aon ONES
SEM
Mob4M Rome
Other Donley
TOTAL S II
81$—j '5
04• .17,00
.1100 s
•17.008
A .000 B
26511
12-11.81
6478
WREN MACHINE VALIDATED IN THIS PACE.
Mit 10C0MR A 70I11IT.