1982, 12-15 Permit: 82B-684 Inspect INSPECTION RECORD
OWNER IT/CATION
CONTRACTOR TYPE OF WORK
NSEW FINAL INSPECTION: / /5 � LT/ (
SET BACKS
DATE REMARKS: Z
, ,
AN NwonErl APPLICATION/PERMIT PERMIT7an y �v
• SPOKANE COUNTY:BUILDING CODES DEPARTMENT
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
JOS ADDRESS P LEG:.===^`'•''ION—SEE ATTACHED
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wicirre
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of EXEMPTION
DESCRIBE
anion.ow. Location tre+,'—
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FEES COLLECTED
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f n reoy ceverse 1,10,,,,..t I nfread end a.mired this application and have reed the 'NOTICE”provisions included
on uh.and know the Lame to be trueand correct All provisions of laws and Ordinances governing this Eu.,..
typeeof work will be Complied with whetter specified herein or not The granting of a permit does not presume
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give authority m.idae oe canc.,Ne provisions of any OR.,state or local law regulating construction or the % M
performance of construction.SEE REVERSE SIOE FOR REOVIRED INSPECTI
aONS //'
—
DATE of.»uc•noN/t• s- 8:-
SIGNATURE OF APPLICANT{121...irefei Lh"L �
r' o' z`
SPECIAL APPROVALS SPECIAL CONDITIONS: Plan CMFk
mar. Cl•TE
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ail•Np.e
Orr ,Spee.,,
un,n..r TOTAL E a-