1982, 12-06 Permit: 82B-1469 Inspect •
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„,A««DM•E. APPLICATION/PERMIT ,PERMIT NUMBER
SPOKANE COUNTY—BUILDING CODES DEPARTMENT > 80-b• 7I,''I;
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NORTH•11 JEFFERSON/OPORA«E,w.V«INOTO.MOO/MOO/46641076 /��
APPLICANT, COMPLETE NUIIIBERED SPACES-PRESS HARD TO MAKE 3 COPIES /�;�I�.
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'�'-�pOF3.a �Q, ,l� ,y .LEGAL DESCRIPTION—SEE ATTACHED (� 4 •
'--Cp7_- m�I__�..n.lsrIr_ 171RCEL NUM•(RR
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a, cnt_Gilt f12,2- I0e SI.el ie�cN..11N.ri..� 04. •I C C r.
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TYPO COOS. OCTOPI,.y SgInYWM
DESIGNER nnDHE shown.MR In VA Ft. A
S.
ADDRESS iir. 146PA
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CHAP.(o<MSE FAow ITo MMM al ew..Do�•M ,« .w,.,.
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TYPE ❑NEw ID ALT. ❑ROT.. D RIL ❑WE. •.In. No.Slot., Roes. No.er O..Hnoe.
w, N ❑at0. ❑RMS. �SMECe ❑P. D POOL CERTIFICATE a. I R a. E.oI Roo,.
A EXEMPTION
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9. " p�oRR GAS ELECT.. SEWER [....n '•'. IL ama^<ooal FEES COLLECTED
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Vni,oEs 7. _ RAMC Onr«.t.0 S.,H i
I hereby certify that I have read and maritime]this application and have read the"NOTICE"provisions included
on .en.tide,end know the sole to b.tow aM GOOK,MI provisions of laws and ordinances governing this BViMOw
top.of*ARE AA 00 Complied with wbetlnr 1pecifi.d heroin or ROL The granting Of a Permit TWAT not prewne
Io give.othcity to.folate Or carpel DIs prnviiold o1 any oder 51110 or local law Yylating construction or the
p.101.was of Lu+rtw.clion SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plwro e6
I,' DATE Of AFPLIGAT70N J/w2 � SIGNATURE OF A•VLICANTa SC...h. N•/1(I
SPECIre AMMON/As SPELYAL CONDITO.. 1 l`
NAME GATE Pen Clack
±, aw SEPA 1\
• .. MObila horn....
o .
rn
e. P.rnl.• u
Dlh.r ISPcIfyl
None. TOTAL i
. WHEN
.n. MACHINE VALIDATED IN THIS SPACE. .
,,.ti THIS BECOMES A•E WAIT.
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INSPECTION RECORD
OWNER L(CATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE
6` rL- R <` ���� ,,�z C1'r 7r
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4.40