1982, 06-02 Permit: 82A-4036 Inspectran nuM•F.
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Ell ae..E.SON I SPOKANE. w.F«.NOTON 0.24/0 / ISOM 4•11-34 /11
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
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DESCRIPTION -SEE ATTACHED
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CERTIFICATEova. ..c .. i«.,«..
of EXEMPTION
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en, a,rnt that 1 nave .e.d .d e.Nnined mi, applCIUon and have read the "NOTICE" provision, includedon
reverse doe• and kn.. Oe same to E• Noe and correct_ All provisions of laws and ordinances puerninp this
NM o1 wort_ .rll he complied with .Nether specified herein or not. The prentinp of a permit does not presume
to give authority to violate or cancel the provisions of Nle other state or local law regulating construction 04O,.
SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
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/p -SZ- SIGNATURE Of APPLICANY(j i/LN4Ofi:
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OAT( Of APPLIGTI0
04(04.04. APPROVALS
SPECIAL CO0•OITNINC
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TOTAL S_.(01-
�524F-40 =1.
0Z• •6100
•6100
•61000
A •OGC
3005!
55-10-02
! 6679
ADDRESS
DATE
INSPECTION RECORD
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REMARKS
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