1982, 10-19 Permit: 82A-9650 Inspect r _
I APPLICATION/PERMIT '
SPOKANE COUNTY— '
BUILDING CODES DEPARTMENT h x08.7•9 Yms-z)
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NORTH et.1FF11F0FON/NOKA....N,NOTON o T t11«,rµ111,11
APPLICANT,COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES
00
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tSS �f,•-/ n' . ,i_ LEGAL DESCRIPTION-SEE ATTACHED
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09• •1900
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l'a3 0 3 �Tu+61.o-L.G-.-.� 0( valuation.« 0...e«n w I c-1 5-82 9
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CHANGE Of VEE,1.0 ro
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.l EXEMPTION Apy, w 't Rp11.
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e GAS �ww • 1,...«I
VATLUO.a_cc fees COLLECTED
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uta CODs
1.5,01,1 FM�SF that I haw.EEE and examined•,t aPplicahon and h.v11 read the''NOTICE" S nae s
rex.iI►,Md Mow EM same to te to.and correct All ordinances
provisions included
pot.the rO dew.of
permit do governing pre this II\
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Mw of wp•...rite
b..u,.ad a whether sprovisions
g,ons of W other er not T r ocal ling re•permit net not prop 04. •uW W 1
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w yw eV•.Miq<tidal.w ea,.nl•.e SE SlOEO of R UIR sot*d IoW law regulating MmWe[ion w the
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pMTorm�/an}��'o'M1e lel ccJorePucoon.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS1IMSM 1y
DATE OF I�1R.r1,iWaly _ / 1 SIGNATURE OF AFPLICANTA>� WG �y.00
wECI.L ANSWVALE SPECIAL COMMONS:
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11,050 �,,I.y,., r�
-:, ... «,n RATE Ct.) X71-•y c...J`l ‘-r "JO - 7."' Flr,Dnsk
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Pt"-P4 it= e. MPA
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ON.OpMiryl
Vnw'�w�,,, TOTAL s
MIEN MACHINE VALI:ATE°IN THIS SPACE,
TNIs•SCONES A PERMIT.
4
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION: /0-(2 ;lP
SET BACKS
DATE REMARKS: ^
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