1982, 11-09 Permit: 82B-0502 Inspect T
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/m..AN nUu.ER 1APPLICATION/PERMIT ER
SPOKANE COUNTY—BUILDING CODES DEPARTMENT 1(°• "ems,_
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NORTH..NAPE/WON/WOE...WASHINGTON wane I ISOM ASEMIES l
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES l
ASS AGGRESS 14183.Wilbur Rd. LEGAL DESCRIPTION—SEE ATTACHED
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OWNER J.C. Boyer PHONE26 3748
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ADDRESS 1419 S.Wilbur Rd. Topa. ���� 10.0 - I
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CONTRACTOR Valley Fireplace Inc. 922 2780 Sim a/Pam. ^.CA...
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61 0 pra¢us Ars. 99037 Ovw OH,n O,w a. 6474
DESIGNER
A 18, EMONE V.hw.me hmhna Arm I^SA.F,.
5. AGo.Ess Ccetraot4r License No.VA LL SF zh. M..^r ,,.,F .,.«., v^.«
326 OW r... 1 u M
00A.GE OE USE FROM ITO A,..Ed e..... 1 AIM.^.e e.Momn,I Nnnn.a.wn.n,
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N.s.,^. I H.s« P..Room. IN...,D..x,n.—
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ox6NSW ❑•Lr. ❑AOT.. ❑,w D MacOorn(R 7. R ❑ D ALMS. CI MEcN D MHD RODCERTFICATE m,. ger.. ro,Rwa.
R or EXEMPTION
ostcRIPE nvInt Install lPrincess PFF 402 Fireplace P^..,
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1: t . eSEER IE«.u.^L.
'EFS CLECED
oCESAS .. EW .. "I USE coot
9. G.EE a„H Oa .O
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I Araby certify that I have road and examined this application and naw read the'NOTICE"provisions included .
nn .ias,and NSM MIA same to be Rua and Correct All provision of laws and ordinances povorning..his g.Wxy
Wp,ofr Woh wig be complied with oMt per awaited Main or not TM granting of a permit does not p wmo
to one authority to violate on cancel tam p CNISIO H of any Ad.um er local law regulating construction w Me
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIIS GaIMAMa `■i
I DATE OF APPLICATION/1 2_'' SIGNATURE OF APPLICAN MMR. �/� a
SPECIAL APPROVALS SPECIAL CONDITION) /
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NAME OAT( men CM0E
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Mot
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. Of.Mooned +
...et m.^w TOTAL S 1-4-)
WHEN MACHINE VALIDATED IN THIS SPACE.
INSPECTION RECORD
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