1984, 04-20 Permit: 84A-3309 Inspection CardINSPECTION RECORD
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APPLICATION /PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
• MOATS( Olt JEFFERSON l SPOKANE, WASHINGTON M2B0I (SOS/ e50 -3075
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. 6 . 1171 A A iet
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PARCEL NO. 6544 -a I(oO
LEGAL DESCRIPTION: / *cc b A-t )
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1 hereby Certify that I Mw red And examined Inl. Eopllutlon end have red the 'NOTICE• provision. Included on
reverse aide. and (now the urns to IM true and corr.'. All provisions of taws end ordinances Ooo.lning this type of
wort( .111 be complied rlin *other specified twain of not. The granting of • (0(011 done not presume t0 give au-
moray to vlclal• 00 cancel Ins orovl.lons of any caner dale Of 10ra1 law rpulaling 0Onstrue110n or MO per10rmanea
Nmmlrucllan. 3EE REVER }E SIDE FOR REOUIREO INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
SPECIALAPPRO AL5
PRELIM. P A1 DAT
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APPLICATION
DATE /7'A'LY41/( /914
SPECIAL CONDITIONS( (SEE REVERSE 510E FOR NOTICE)
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CE - GS-6 47116wd .2518y-
PERMIT I3 NONTRANSFERABLE
PERMIT 15 NULL AND VOID IF WORK HAS NOT COMMENCED
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FEES COLLECTED
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TOTAL S ,
ERMITNUMBER
a - 334j
02• .322600
•3;6007
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330P:
OA —D2 -B6
5 6474
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.
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