1981, 02-26 Permit: 81A-1539 Inspectc
ADDRESS
DATE
INSPECTION RECORD
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REMARKS
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NBER ..
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SPOKANE COUNTY—BUILDING CODES DEPARTMENT Ielk' I�J3 X, 1
NORTH 911 JEFFERSON/SPOKANE,WASHINGTON 90280/1949)486.3876 �I
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES L,,
711
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TYPE la NEW 0 ALT. ❑AWN. ❑RRL. O MVS. I MJF' 61�
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NO.Beset N.Stales Na.Reams 1Ne.on Dwelllnaa
WORK BLD. ❑PLMa. ❑MICE. ❑M.H. ❑POOL ❑OTHER C / I 4
CERTIFICATE I( Rood. I Ree d. INofx Rp•d.
of EXEMPTION
Q�OF6Cg18 7OR Q.aa1 1ib nem A'�� r.r,o n1. IL."...(Arwl
` 10 sOu�C[ �k f,''=, PEES COLLECTED c /(1.
=.[CTRIC WATER BeW[R zuzutp USE CODE 1///
RJ�//L UTI LITitl ITIL Ipaplic❑Rivets 4I ' 1
I hereby certify that I have read and examined this application arid have read the"NOTICL Sino E.----.
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on versa side,and know the same to be true and correct.All providonf included
Nps of work will be complied with provolone of laws and ordinances governing this 6uIMI,M 7>d 2.2940
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to give authority to violet,or cancel the provisions
specified herein or not.The granting of a permit does not presume "E7I
provisions of any other state or local law regulanim construction or the
performella of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF.APPLICATIONZ/n-A/ r f
_SIGNATURE OF AYPLICANT.C.:2-.,.y.,C. h
EPECML APPRCQI�fAALLA� SPISIAL CONDITIONS: `
NAME"'CAW
Plan Check
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