Empire E 12301 Grandview Acres Office Bldg • ~MI. ..~.'.,v". I
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SPOKANE COUHTY - DEPAATMENT OF BUItDING & SAFETY '
NOATM 811 dEFFER50N I SPOKANE, WASHINGTON 992601(509) 456-3675
APPLICANT COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STfiEE7 ADDAESS
~_.~.L~~O) C M P( R-E l.Jv PARCEL NO
LOT 9LOCK SUBD+VlSION - + -
LEGAI DESCRIPTIpN
2 GL 1 ~ hfi r.~Yr;^"s~ &cv-.0ai 4-jZ Vl 1v
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CONTRA Ft~A ENSE EXPIRPHaNE Slteot Pe►cel ~ntiel 0 4 ~ 3~30 ~ t 2~~ 5 ~,~r~ ~
ApCaESS~ ZIP Type~Ca~yt , OxuDanh 5~'inklerao
U °~`~?!~Z- Yes }Sp~c Reo 0
DESIGNER~ D ~ pHQ E Cr~s! YalueUon Remodeled Valuati¢n Total Bltlg Floor qrea
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ADQAE9S Z-f``. ZI?77 ' ~'7 M~n Uppe► Floon GaragelSlorago Greer~ouse .
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TYPE No flpors Na Fi+~ qaoms No Owe►lirtqe
7 OF ~~E~~ ~ PAL7 AD'N = RPL Q MVE ~ OTHER v ~
WORK ~ BLD PLMB . MECH M H rt POOL CertNt mF~cemai r~quned Yes Na~ ►~umee~
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UTIII•IES PRIVATE SEWER _
t nNrei+y certity that I nave read and examined this application and have read the 'NQTICE' provisions mtludeQ on
rpverse side dnd know !he same to be true and correct All provisions of laws and ordinances governing this lype ot ~
Na►k will be complied wim whether specitieC herein or nol The granUng ol a permit does not presume lo give au•
thonty to woiate or caricel the arovisions of any olher state or local law regulating consiruction ar the oerformance
ai cons►ruction SEE REVERSE SIDE FOR REOUTAED INSPECTIONS Piumoinp
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SPECIAL APPiiOVAIS SPECIAL CONQITIONS (SEE REVEASE SIRE FOR NOTfCE) Plen (',h@ck cc
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WHEN MACHINE VALIOATED IN THIS SPACE,
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PEpMIT IS NONTRANSFERABLE THIS BECOMES A Pf RMIY
Evam ~ PERMIT IS NUII ANd VOIp IF WORK HAS NOT COMMENCEO
&~'~,"v IN 180 DAYS i
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