1982, 01-10 Permit 82A-6360 InspectDTSPECTICN RECORD
ADDRESS
DAIS
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APPLICATION/PERMIT
0 foot.
lroTNER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH.11 JEFFERSON / SPOKANE, • oNNOTON eaI.O / MORI eesle h6
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD' 10 MAKE 3 COPIES
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1 6027o••.l FF'•er"
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CONTRACTOR
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PHONE
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LEGAL DESCRIPTION — SEE ATTACHED
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•n° I r.uF.n. a Sorrn.I•••o ❑v.. a. ONo D
15, goo
OE OF USE FROM
/�jy�{❑�I ttawF 0 ALT. 0 Ao.N. 0 qh. O MVE
' :„:4: �. 0
h... 0 MECt. 0 M.N.
_aln• I Ho. ,IwN Rooms No. Of Own .1..
CERTIFICATE w a. I q• a. Fro. L/ gFo•a.
E. EOXEMPTION nu ., ILocation IA••a1
Pena Nnlo
Peen. 0 P1N.I•
e,.W certify that 1 have reed and examined Ehil application and have read the 'NOTICE" provisions included
on MOWER ai& end know the same to be MIS ..d correct All proviafons of law end ordinances governing this
type of wok will tr complied with whether .pacified herein or not. The grantin of a permit does nol prawme
to give eraV.ority to vitiat. or tercel the prwisiorn of any other trete or local law regulating canatruclion or the
Performance of eonarnacetian. SEE REVERSE SIDE FOR REOUIRED INSPECTION / Plumbing
M1. PATE OF A LICAT,Otalt SIGNATURE OF nppLICANT'y f—. -,/ •� —MMa,
laaaAL 141110V L a.E
D 'mob
MonWOR
Vtaiwn
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SPECIAL CONOIT10t4; (9 GOC. 4
Nan Chuck
SEPA
Mobile Horne
OIMr ISo•cItyl
FEES COLLECTED
Single
e„iM�•N ZO•LLi
TOTAL S
0!
WHEN MACHINE VALIOA TEO IN THIS SPACE.
THIS BECOMES A PERMIT.