1981, 11-13 Permit 81B-1759 InspectAPPLICATION/PERMIT
1 SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Bit JEFFERSON / SPOKANE, WASHINGTON 99260 / (609) 4662676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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LEGAL DESCRIPTION — SEE ATTACHED
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of EXEMPTION
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PEES COLLECTED
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Owowmio USE CODE
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I hereby Car I. to II.) ryteed and examined this applicatiol. and have read the "NOTICE" provisions Included
f I6 the same to be true and correct. All prisions of laws and ordinances governing this
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type ofMork win be rnnipl red With whether specified herein or not The granting of a permit does not prefutne
to glue sothorny to NMale or cancel the provisions of any other state or Iona raga ring c t• Ion ni the
performltare of c.OrTo hn,,l hu SEE REVERSE SIDE FOR REQUIRED INSPECT(
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DATE OF gi'PLTLA I r IN // �ARarr"4-�/_ D UNA TARE Or APPLICA MMh. I`,7
SPECEAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
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Mobile Hoene
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Other (Specify/
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PERMIT NUIMER
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INSPECTION RECORD
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LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
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