1983, 04-25 Permit: 83A-2820 Inspect•
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APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NOA7H 811 JEPFEREON / SPOKANE. WASHINGTON 5EJ5D / 450•1E5a.3STS
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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00070,4000
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I hereby Denny 10•11 have reed a0• .000.10.6 dal. appllcrlon Mad NEW read Om •NOTICE' pr..1.1.,. Inelud.6 on
nneres Nd.. And Inam me same roe. free and correct. AO provisions of laws End .rdlnNpee gowning this type of
..a w1110• pamp1l.6 rain whether /Willed herrn • noir The (tanning of • permit does me prewme to EN. Ann
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SIGNATURE OF
OWNER OR AGENT
APPLICATION
DATE
.5.,,,APP,OVALS SPECIAL CONDITIONS: NEE REVERSE EIDE 000 NOTICE)
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FAA., DATE
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fifty
4/4
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Ar•a..0.1.4 PERMIT ISNOIRAANSFEAAS LE
FEES COLLECTED
PERMIT NUMBER
62• 25,00
•25.501
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WHEN MACHINE VALIDATED IN THIS SPACE,