1982, 03-01 Permit: 81B-2646 Inspect INSPECTION RECORD
ADD `'
DATE REMARKS
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PLAN NUMBER I APPLICATION/PERMIT
SPOKANE COUNTY—BUILDING CODES DEPARTMENT P MIME f. , �
NORTH Olt JEFFERSON/SPOKANE,WASHINGTON EMS/MOW ESS.pSaC /l(!1I_/ryT '
toE ADOREss t.
APPLICANT, COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
.17/..( 5, v frf A.J./,_,f-- LEGAL DESCRIPTION—SEE ATTACHED 03. •8 1.00
LUT BLULR 4 S PARCEL NUMREIVS
2. CO A
•81,006'
CO 401 I /C !�s `J .77 o,i^So R e.6.0H In, Iw. 1 1 3 0 3
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a. oitiEss VCr l,;YV SSI/jGfri pP.<oyN FF.P.
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DESIGNER / HONE Valu•Ilen I o Me A•••In A.tl 6079
❑a.I ❑NO Rs0 f1R•n.
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mein PNIN
5. CHANGEpOP DEEP ECU ITO Z1e AHE RI ECOO°PP.rPl ORI.d BaMm• UClin.Sw rn•n
6. I I .R.•. .I
T. V,NEw 0 ALT. 0 ADW. 0 RPL. 0 MVC. Ne.BONN No.stCA., Rep,o.Seem INo.el DN.. er
COPA 0 CLO. I�PLIAS. 0 MECH. 0 M.N. 0 POOL 0 OTHER CERTIFICATE I a Roe,. rot a•e •
P EXEMPTION
R I R
8.
DESCRIBE
ALVAIe owOAw Cf 1 x 1�I�� [Awn. r, eunon IHE.al FEES COLLECTED
N SOURCE GAS l ELECTRIC WATER SEWER OooNoCINIvaI I USE COD9. UTIETTIES paw,0 E
II hereby certify that IC have read and examined application and have read the"NOTICE" o is Bingle S
e e 'nIA this app provisions included
verse side,and know the lame ID be true and correct.All provisions of laws end ordinances governing this
Noeon eof work will be complied with whether specified herein or not.The granting of a permit does not Presume Builtlinp
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o give authority to violate or cancel the provisions of any other state or local law eating tion or the
Performance o1 construction.SEE REVERSE IDE FOR REQUIRED INSPECTIO Plumbing ,,r„.1/),
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DATE OF APPLICATION J r SIGNATURE OF APPLICANT/ 7'1 <1 / ai l.0 — ApcS,
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE ,/, — i6'b Plan Caec4
I"."<.n. I— �;A.
1- V;iLILi QAJ'tr /' 5 t 0(.Jn r SEPA
I- O 3.AO,xE/
Mobil.Ham
' LJ CsT,1.,111-
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E v •• ther ISP.IIHI
F• /,.Ja.4'Gc /ka,-t-n-
1- !_aL•Hlr7 T✓.,y� �
TOTAL S
Pi+.r E.+�• <. 6�_. .'L✓ WHEN MACHINE VALIDATED IN THIS SPACE.
SEPA C^ec.i.,I Y- I`.,i"I. THIS BECOMES A PERMIT.