1982, 03-09 Permit: 82A-1361 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WOR
N S E W FINAL INSPECTION:
SET BACKS . ..
DATE REMARKS:
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"HU.:Efl APPLI�n^. PERMIT L PERM7N,;MPLI-.._.._— {{JJ
SPOKANE COUNTY—BUILDING'CODES DEPARTMENT HCltrA •�36 I
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NORTH ISIS JEFFERSON/SPOx•NE,WASHINGTON 99:60/Iso91•s6.]676 Jx`,(ff r
APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES •1 9.00
,09 Aponcss 0 4•
1 /yy�3 y �,7� LEGAL DESCRIPTION-SEE ATTACHED
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DESIGNER
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ADDRESS
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PHONE
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e. CHANGE OF USE FROM ITo 0,...De... l FUl eanm.I I Do0..e.nmmi
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7 woR O eLD 0 PLM• 0 MEGs D MN 0•DOL D OTHER CERTIFICATE R..a.
H of EXEMPTION
DESCRIBE
A E.m01.1. Lu,on A.. FEES COLLECEEO& ra U//FI• CEGAET ' '` at VADE/ S ECS.
HATER DSE CODE
9.
IUTIMES Pn0AF OerIvn.0 Sinew S
I hereby certify that I have read and examined this application and have read the"NOTICE'."NOTICE'.provisions included
reverse: on side,and know the sae to he true and correct.All provisions of laws and ordinances governing the ,,,,;lair.
Iv peof work will be complied with whether specified herein or not.The granting of a permit does not Presume
to got authority to iolate or cancel the provisions of any other state
or local law regulating construction or the
Performance of construction.SEE REVERSE SIDE FOR REOUIRED INSPECTIONS PMunrOro.
DATE OF APPLICATION ' -•Ar-S1 SIGNATURE OF APPLICANT-y��S .... .."..".--
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SPECIAL•PPCOV•LS SPECIAL CONDITIONS: aml-E' 9.'a a
NAME DATE
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UI.n... TOTAL f /,‘TO
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WHEN MACHINE VALIDATED IN THIS SPACE,