1983, 06-22 Permit: 83A-5355 InspectionPtAN NUMBER
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APPLICATION /PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTX 111 JEFFERSON / SPOKANE, WASHINOTON 1340 / (6M) 161 -3478
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
PARCEL NO.
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LEGAL DESCRIPTION,
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OF MV1D OTHER
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femme MM. ma Mew M. some le M Imo and 0171. MI pRVMb0 of 1..1 and adlnancw 3 0 0 0s MN typo of
.en MR he comp l.d NM ~her specified Mrol a not. The pranf4,5 of • perm" a0m not presume to 0144 au.
catty to Haar* or cancel fn. provl.lons el any other .4.14 or local N. r.001atlas opMNMIon sr 8.. pXbrmrwe
el e.n.tr,0000. LE REVERSE 1101700 R €06111010 ;FECTIOM$
OVVMER SIGNATURE GENT i APPLICATION
11OM
OWNER OR AGENT
SPEC AL AP ROYALS (SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
LLl/ S
5.
Nom
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PERMIT IS NONTRANSFEMSLE
FEES COLLECTED
PERMIT NUMBER
BSA -S'5'
024
•6800
•6 "0011
•000 0
525SB
(;6 -10 -R3
(477
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS 'BECOMES A PERMIT.
ADDRESS
INSPECTION PECORE',