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Date BUILDING CODES DEPARTMENT
Permit Number
Certificate of Occupancy
Building Address:
Lot• Block Addition:..... , ....1,0
Owner. Address:
Occupancy Group: Land Use Zone:
Construction Type of Building: Occupied as:
Occupant Load
Additional lnformation :...........................................................................
This Certificate is issued pursuant to Section 307 of the Uniform Building Code and is to indicate the above
described structure is approved for occupancy.
Building Official's Signature
THIS CERTIFICATE MUST BE PERMANENTLY MAINTAINED IN ALL BUILDINGS OR STRUCTURES REFERRED TO ABOVE -If the building or structure
is used for any other occupancy than that listed, an application for change of occupancy shall first be made to the Building Codes Department of Spokane
County.
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