1982, 01-29 Permit: 81A-7995 InspectL
ADDRESS
INSPECTION RECORD •
DATE REMARKS
1-02%4-0,_ P l/� ��c a.�.�Ie s rY, e
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APPLICATION/PERMIT
O� SPOKANE COUNTY — BUILDING CODES DEPARTMENT
'�•„I I �' NORTHettJEFFERSON/ SPOKANE, WASHINGTON tra— /IBpin 456-39)5
`APPLICANT: OMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 3 COPIES
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N• �� -. ML'r FZO�d LEGAL DESCRIPTION SEE ATTACHED
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at
EXEMPTION
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FEES COLLECTED
e00RCl ON .LBC WgTBR SEWER Own•rM10 Ip8 COO.
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1 hereby certify that I have read and examined this application and have lead the "NOTICE" provisions included
on reverse aide, and now the game to be true and correct. All provisions of laws and:I ,1I in:"lees governing this Wising
type of work will be compiled with whether Specified herein or not. The granting of :� ml does not presume
t0 piva,.authority t0 violate or cancel the provisions of any other stale or local law 1.•q,.'.,m."I �umlluctlun or the
pertormaM1n of ionatructiopn. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS �� /1 �/ Phanbina
DATE OF APPLICATION-_.fL� 7— SIGNATURE OF APPLICANT (T31�( _ `[t'Y` M•Ca•
SPEMI
CIAL APOVAL11 SPECIAL CONDITIONS:
• "sal s•: CAATB''y .+.�/:(.].�.E,y..��� Plan Check
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