1981, 06-08 Permit: 81A-4491 Inspectkt
ADDRESS
INSPECPSCN RECORD
DATE REMARKS
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APPLICATION/PERMIT - '
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
Nonni Ed JEFFERSON s SPOKANE W ASHINGTON O9E60 T 160Sk sS36,T
"APPLICANT: COMPLETE
NUMBERED SPACES - PRESS I'ARD TO MAKE 3 COPIES
•
,oN�GRE.3 3 Pie:Kee-AO
111-113.-1;4/4-0-
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LEGAL DESCRIPTION - SEE ATTACHED
IFYyfix -*Asa ItT 'Hoo,
`ice` -7¢117
PeacEU NU+.BERTS 2.541— 1515
ONE
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PHONE
ZIP
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510
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N B341 -D.43 OP ,0.1:61.' D N.N ' o FGGL
—zT RICE +8. $R5 tixi'f'OJ 30>c 7-..
.. VAL + I N SOURCE Eld ELECTRIC WAT SEWER
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CERTIFICATE
Pe EXEMPTION
I hereby L UIIfo Inel I ben rE End a on ned Shia application and hove 'sad the
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1 I plly o 1 'ola1 or I the of e 1 n , .
0A E 150000'06 of construction. SEE REVERSE BIDE FOR REQUIRED INSPECTIONS
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SJ sNATUne of LIOANTF�vrt�Ft 41t/te�
SPECIALAnn0VAuSPECIAL CONDITIONS'
o.n ...e. ,„:10100,
S J
111
aoo N, 2e,
FEESCOLLECTED
B
o ie e 560.
-morn
SEP • m
O ISP
TOTAL 5 56 .
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•5600
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