1981, 08-19 Permit: 81A-8289 InspectINSPECTION RECORD
OWNER LOCATION
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N S E w FINAL INSPECTION: &:;2
SET BACKS—
DATE
SDATE REMARKS:
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APPLICATION/PERMITERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT P S /}
NORTH 911 JEFFERSON / SPOKANE, WASHINGTON 99360 / Stan 4563676
4
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS � 3• + 1 7 0 0
1 / LEGAL DESCRIPTION —SEE ATTACHED . 1 700 61
ARCEL NUMBER/5 . 1 7 0 0 6
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3' R ' Odd Actus. S•t Backs In Fast 828 P 9
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OpIONER P O E lu•tlon BUIIBin9 Arw In SR. Fl.
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BLD. LMB. ❑ MECH. ❑ M.H. ❑POOL � OTHERERTIFICATE w'e. ac d. 1 aq
ORRO
EXEMPTION
D CRIB K wTED&
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Single E
SOURCE OAS ELECT IC WATER SEWER UEE CODEB.UTIIITIp Private ❑
I hereby certify that I have read and examined this application and have read the "NO'I (J " .r —.on, Included
verse Fide, and know the same to he true and correct. All pro,sions of laws and u' �hoences gov Ing It is
IThe
n. uI tress
withgranting o a o t drW� n
type of work will be e mplied with whether specified her not.
Building
I ,„��strlrcti rill
to give authority to violate or the provisions of anY other slate or local law en rl�e
performance of construction. S E flEVEflSE SIDE FOR REQUIRED INSPECTIO
Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT. _ _ __ _ _ _
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YECIAL AAROVAL8
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W11E DATE
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