1981, 04-30 Permit: 81A-4097 Inspect.......... _ _ _ _
INSPECTION RECORD
ADDRESS
DAZE REMARKS
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XAN NUMBED
�i APPLICATION/PERMIT
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ERM" NDMBER
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SPOKANE CC;JNTY — BUILDING CODES DEPARTMENT
OAS E PIC WATlR O n
Snae $
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NORTH ell Jr F FE RSON / SPO,<AN E, WASH, NGTON 99460 / 15091 456.06/5
I hereby Certify that 1 1-1 read
and ee. I' d h. Ipl ' I I
APPLICANT: ' IMPLETE NUMBERED SPACFS PRESS H ";I7 Ir) MAKE 3 CId"'
n verse tide, and know the
same to be t- d All
LEGAL DESCRIPTION — SEE ATTACHED
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SPECIAL APPROVALS
SPECIAL CONDITIONS,
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NAME GATE
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6' ADDRESS
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QI NEW OALT. LB AD'N. 0PPL 0MVE. C3
OP OTHE Ci`ilV cIF1�cA^u 4q Rec a q
WORN ❑BLD. D PI -MIL ❑ MECH. 0 M.H. ❑POOL Y
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FEESCOLLECTED
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"LUAT SOUR 8
JU LITIES
OAS E PIC WATlR O n
Snae $
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I hereby Certify that 1 1-1 read
and ee. I' d h. Ipl ' I I
n verse tide, and know the
same to be t- d All
tP 3ff
Bwld n9
typree of work will be a mpl ed with whati ,pec fied here r I .,
to give authority to vlolatc n, cancel the p7ovls,ons of any other st �.al .iii ii
performance of consltucoon.
SEE REVERSE SIDE FOR BEQUIR EU INSPECT, S
Plumeinv
. DATE OF APPLICATION_o!h
--1 L__ $IGNATURC OF APV, iC
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS,
NAME GATE
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FOtha, ISPx,tyl
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8.� A•M• PouR 'AM
TOTAL $ 38
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