1982, 06-09 Permit: 81A-7860 Inspect% INSP=Ctq PBCOPIC.
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PEKUTKS
APPLICATION/PERMIT
PERMITNUMI[R
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SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH ata JEFFERSON/ SPOKANE, WASHINGTON 90260 / 16091ea0.3616
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APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Joe Ao LEGAL DESCRIPTION — SEE ATTACHED
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DISIGNER PHONE BY1161n A .Ft.
6• ADDRESS 21P
CHANGE OF USE PROM TOA of D.cks 11 MM N m. Unlln. B. —m
No. BaW No. StorN. o. Room o. of OwNllnps
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NEW '0 ALT. ❑ AD-N. ❑RPL ❑ MVE.
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IB�BLD. ❑ PLM.. ONE— 13M.H. POOL CERTIFICATE 0 R.Ca.
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of EXEMPTION
OESCRIIE WORN Enum. DHLra11— t-wo
FEES COLLECTED
SOURCE OAS EL[CTRIC WAT[R SEWER —1 MsoP USE CODE
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1 hereby certify that I have read and examined this application and have read the "NOT u:E" provisions Included
averse side, and know the same to be true and correct. All provisions of laws and nllhn,lnces graver ting this
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type of work will be complied with whether specified herein or not. The granting rat n pei mit does not presu
to give authority to Violate or Cancel the provisions of any other state or local law regulating conslruc[iol. or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
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DATE OF APPLICATION SIGNATURE OF APPLICANT
"
SPECIAL APPROVALS
SPECIAL CONDITIONS.
NAME DATE
Plen Cheek
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SEPA
Mebilis Mems
Other 15wifyl
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VIII•,
TOTAL
6
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