1980, 02-04 Permit: 80-939 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W FINAL INSPECTION:
TYPE OF WORK
SET BACKS
DATE
PLAN NUMisER
MOS ADDRESS
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH all JEFFERSON / SPOKANE, WA901949909 99200 / 10091 466.3610
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HAM TO MAKE 4 COPIES
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LEGAL DESCRIPTION — SEE ATTACHED
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CERTIPIGTE
01 EXEMPTION
SE SER
FEES COLLECTED
I hereby cattily that I have read and examined Ihn application and have mad the "NOTICE" indeislons Included
on mux side, and know the uma 10 he roue and correct All 0.0010004 of law, and to:1,nml.. povcming 1115
typa o1 *0049,41 he eomgl.d with whether, swotted heraill or not. The granting 01 :moot duos oar prosa
ons
to Ova authority to violate o ul
cancel Ilw provons of any other stale taw rn firm const, Pon 09 Me
ATTOrina 00 0 • 99
D ATE_ _ R • le SIGNATURE
SPECIAL AMVIOVAL0
OEM. AMMO. RECO.
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Planning
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SPECIAL CONDITIONS:
/OD /r2 8TH
Sa9le
SuIWing
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4 OV
M4ch.
Plan Chat
SEPA
DATE R • �D
04A •1200
•1200 E
•120011
E •000 B
1381
01 —1480
# 6479
trd
101 •
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TOTAL 5 /Z
WHEN MACHINE VALIDATED IN 0016 SPACE
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