1983, 03-04 Permit: 83A-1276 InspectIi1SPECTICN RECORD
ADDRESS
DAZE REMARKS
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�YIAN NUMNt0
ANI'LII,:A I ION/t'ttiMI I
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH Et1 JEFFERSON / SPOKANE. WASHINGTON HIM /ISM) 15434111
APPLICANT; COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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SIGNATURE OF DATE
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OWNER OR AGENT YYII
SPECIAL AP ROYALS/SPECIALCONOITMNS' EE REVERSE SIDE FOR NOTICE)
Nom
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PEAMIT IS NONTRANSFERABLE
FEES COLLECTED
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TOTAL S I�
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WHEN MACHINE VALIDATE iN TNI55PAC