1984, 05-07 Permit: 84A-3116 Inspection CardADDRESS
INSPECTION RECORD
DATE REMARKS
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PLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 611 JEFFERSON ! SPOKANE, WASHINGTON MOO 1 (536) 6543606
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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LEGAL DESCRIPTION:
LICENSE 9010.10*
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1 Mosby belay Mat 1 have road and ...mined 0111 &pollution and nava road tne'NOTICE' Pr0NSlafE Inclu0 d on
mows. Side, and Imam 136 oa7• to M Irw and eared. Alt prorlslons of laws and Ordinances gowning ON type of
cork rill M 7010911.4 wltn rnetPN spoo111•d herein 00 rot. The 9ranlln9 of • par10lt does not pesos. to she au.
Natty lo violate 01 0.70.1 136 p10711100. of any saner 11at• or local law r.901.11np con.truCNOn or IM p.rl0rsan0.
of construcllos. 5E RE R5E 510E FOR REC0I D1550E001055
SIGNATURE OF AGE APPLICATION /
OWNER OR AGE •• // �+- -./ DATE 'I� y )",
SPECIAL •PPR• VALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
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.PEIx.. FINAL OATS
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
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Mon Oa
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Modular I
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TOTAL S • 00
PERMIT NUM 0611
844 -311b
02• •4000
•40000
R •400 5
311.50
04 -09 -84
0 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.