1980, 10-15 Permit: 80B-1717 InspectOWNER
INSPECTION RECORD
QCAT1ON
CONTRACTOR
NSE W
SET BACKS
DATE
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TYPE OF WORK
FINAL INSPECTION;
REMARKS!
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APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
APPLICANT COMPLETE NUMOEREO SPACES - PRESS I IARO TO MAKE 3 COPIER
ADDRESS
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CERTIFICATE
el EXEMPTION
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USE COOS
FEES COLLECTED
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.11.005
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hereby certify that 11104 read end anemined this application and have land the "NOTICE' provisions included
on r,YRN tufa, and know the same o be nue and ,Orfeot. ✓.II pluv tit levet and V es geverning rhlt
WIN Ol work will be complied with whether specified herein of nor the granong of a penn,1 does not presume
glee authority to violet' or cancel the provisions 04 any other state or local law regulating construction Or the
of constrUcllon. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
DATE OF APPLICATION SIGNATURE Of APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
'o
11 /1. oce
4.A,'_ To cc..vPUPc
Plan Check
SAPS
Mobile Nome
Omer ISeecdoI