1981, 04-15 Permit: 81A-3149 InspectINSPDCTION RB ORD '``
mdess 9
/1-1-3(
TI,�EIaeR.E'
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�� �/ APPLICATION/PERMIT
SPOKANE COUNTY —iri.71 WetroES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON ae260 / MORI aeeJ4176
L APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOE ADDRESS
P E 4e o R ^1
LEGAL DESCRIPTION - SEE ATTACHED
�ry
2 / 30
PARCEL NNNe E"� L4531 -2Z04-
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PHONE
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ADDRESS
Z 4804 3"
L199 aDV
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North BS/ !South 4.
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CONTRACTOR
1; on I CD....i,.�, Shed i7 M..1
PHONE
075'-9or4.
SIM of P.ICe1
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DESIGNER
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Bending Arm In Sp. Ft.
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& ADDRESS
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CHANCE OF USE FROM 1r0
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A. of Docks PM. rmmI Unnn. Elommo t
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}::.WORN II �• D RMB. O MEM. ❑ M.H. ❑ POOL
CERTIFICATE 4l44. Rm d. 1Eie1Rp'd.
of EXEMPTION I 1 X
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FEW COL1Ee7ED
AT
SOURCE OA{ EC RIC (�Q ER SEWER
I
OwnHUSE CODE
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wam 0...me E(
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ned this appllcabun and have lead the "NallR'F" provisions included
I hereby certify that I hive reed and examined
ordinances p.m/ring this
cm fz aid, and know the sameo beI. true and c AH nrnv MOM of law, Al.4
Te G
3110. .V;
type of work will be complied with wholher specified herein ur nor The yratnnln of I , Innni-1 0Ue1 not presume
•Vn I Construction of the
s 01 any 01he, std a or local low r
10 glee authority l0 Violets or cancel the provlsmlI t
Plurnbine
np
DOI tONTIof construction. SEE REVERSE SIDEFOR REQUIRED INSPECTIONS/�
h'
DATE OF APPLICATION , SIr NATUSRL OF APPtICAN fL )•V'F.P'/a� 't ecA
.
SPECIAL APPROVALS
SPECIAL CDNOITIONE: J V
%M Chock
NAME DATE
Env. ymhn
L�WH•� -i
Moblw NmH
Iiiiinarna
ORM! IEPeciwl---
1
iliMMIIIIII
eaydn
TOTAL
^2e *3800
.3800
•380015
h '000 B
31488
04-07-8,1
8 6479.