1982, 04-27 Permit: 82A-3209 Demolition ResidencePLAN NUMBER
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APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 15091656-31UE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3COPIES
JOB ADDRESS LEGAL DESCRIPTION —SEE ATTACHED
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6N
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3.
4' ADDRESS
DESIGNEE
5' ADDRESS
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TYPE El w ElIT. ❑ AD -N. 1:1 NFL. El.11E.-" - -
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WORK Z. ElPCMB. ❑ MECH. ElM,H. 71 OTHER
CERTIFICATE Re9'tl. Fill-in NOI Reg'E,
of EXEMPTION
PERMIT N✓�R
B2A 3zo9
c%C"s
4-27-82
l 64iS
B,
5 • i C �Z
%' �
FEES COLLECTED
-
VALUATION SOURCE GAS ELECTRIC WATER SEWER pµnersM1iP USE CODE
OF Ps. lit ❑PnvatO
9. VTI CITIES I
I I
Single $
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I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Bsall
ME -Lo
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION—Y—'—"-----%' -AeSIGNATURE OF APPLICANT
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SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Cri
Env- H-1th
SEPA
Pla nnln9
Mobile Home
Other (SPetify)
ib
TOTAL $ Ib _
hive Marshall
Co- Frain—
Vlllniee
Plana Fxammer
WHEN MACHINE VALIDATED
THIS BECOMES A PERMIT.
IN THIS SPACE,
sEPn caeckusl
PERMIT IS NONTRANSFERABLE
PFRMIT FXPIRFS ONE 114R FRI. matte OF SIIGNCF
LII ' f
(,�1 -' 77
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