1982, 01-04 Permit: 81B-3000 InspectINSPECTIGN RECORD
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DATE REMARKS
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APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH El l Jaaf IRSON / SF')RANE. WASHINGTON 14290 / IOO9I 411.36714
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
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OWNER
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ADDRESS
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CONTRACTOR
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DESIGNER
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4 hereby certify that 1 Rare read and etemIned this eoplkttion and have read D.e..NOTICE" p9e1Etons included
on mem side, end know the sane to be true and correct All provisions of laws Mld,pdin7FKal governing Mn
Noe of work wet b. Compiled with whether specified herein or not. The bondn. of i permit does not presume
to gone authority to violate or cancel 1M Drwisi0m o1 env other Stab Or Inca law feg,lating COnEU1Kti0n 0, Me
perforrr.en0e of consanactian..'SSEE REVERSE SIDE FOR REQUIRED INSPECTIONS'
DATE OF APPLICATIOI, I/ SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAY[ RATE
"o Cl f:p ,(p.In ( omm. Ar- ON
Fh}r((HOD (2.O» 1 IPI)) 5
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Gm¢.sgaT.C.0 (Ai1;14fl
FEES COLLECTED
S1Aye $__________.
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TOTAL SPAgQt CA:
HERMIT NUMBER
02.
02•
p \
.27000
.29800
.298006
A .000 8
299.'99
12-28,81
9 6979
WRENMACN1NE VALIDATED IN TN10 SPACE.
THIS BECOMES A PERMIT.