1982, 02-22 Permit: 82A-417 InspectINSp=PN RDgORD
ADD*S
DATE RIIMAMS
SPOKANE COUNTY—, �UILDIN(= CODES DEPARTMENT 2izl, • f{-17
»OR T» al+ 1.11e.soN / SIp XANE. WAS»I».4TON eexe0 T lees,asa—
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1 ,De ADDncss S. 612 REFS - c_ "� LEGAL DESCRIPTION—SEE ATTACHED '� •SGC
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..NEA VERN C. Wfif'AlUl IFT P924-5247
ADDRESctu.I Set
s S. 612 Rees 99216
10—FACT01
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S.I. Pr P.« n. C»uuwuon c I _ 18 _ p 2
4_ A SCrr WATER SERVICE CO 455-8050C ,. 80506670
pones E. 25 Third 9202 PP. Pn, „1P. F Ov., ON.
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7. w R O eLO. JtE� ' I.e. D MEG». 111 ❑ M.». O roOL iN[R CERTIFICATE
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E DESERIeE—R» SOET WATER En.m. D.... u«on lA...1 FEfSCOLIECTEO
g vALpAFI GAsLEcrnlc wArEn scwER M,OnN.I.O LIFE
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I n 111 « 1. that 1 nave read and ea III, I this applica+i and nave read the "NOTICE" proeisions included
,, r ,k 1 kF the . me to ee +. and cpnecLD ., provision, of laws and ordinances governing this ..
Wpe of wor4 will be cwnpfied with whetM1e uapecilied herein o t. The granting o5 a perm t does not prewme vllo rq
o give authority to violate or cancel the provisions of any D+her sts a or local law regulatinglconsrruchon or the
performance of conswction. SEE REVERSE SIDE FOR REOUIRED+INSPECTIONS vm g 5 00
DATE OF APPLICATION 1/18/82 SIGNATURE OF APPLICANT —h.
SPECIAL APPROVALS SPECIAL CONDITIONS:
c—,
SEPA
Ce<E.o-�ee / r1C Moeil.
OFMr Ib« SF— rvl
Ur.i.I�e. TOTAL $
anI
"ENIACIIIE v LIDAT1D IN T-IS SPACE,
n ....�,n NIS BECOMES A PERMIT.
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