1981, 03-02 Permit: 81A-853 InspectINSPECTION RECORD
ADDRESS
DATE REMARKS
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NUMSEA
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NO R7114TT JEF PERSON / SPOKANE, WASHINGTON 99360 / 16061466-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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LEGAL DESCRIPTION — SEE ATTACHED
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DESIGNER
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PHONE
ZIP
PHONE
PARCEL NUNIEER/S - 202#
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North ISouth
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Area of Dec e
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TVP . KNEW Y ALT. 0 AD'N. 0 RPL 0 PAVE.+°� WORK 0 91.0. 0 PLIAS. 0 MECH. 0 M.H. 0 POOL
0 OTHER
INo. St.l.
CERTIFICATE
of EXEMPTION
• Roams No. of bw.Illnae
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Dpcgist WORK
Enum, Dist.
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USE CODE
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I hereby certify that [ham read and examined this application end have reed the "NOTICE" provisions included
on .even. NIM, end know the same to be true and correct. All provisions of laws and oldmances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
petformence of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION / - 924 SIGNATURE Or 7I'P1leANT 2‘. 1(.a./S[.Z2S°
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME. ` DAT!
FEES COLLECTED
Sinal
Building
Plumbing
Me h.
Men Check
SEPA
Mobile Nome
Dther (Specify) pow
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Pt IT NUME[R
VA -3s
02+
+ 140.0'
+1400 E
+14008
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