1987, 03-02 Permit: 87000230 MHSPOKANE COUNTY DEPARTMENT OF .BUILDING AND SAFETY
NORTH 811 JEF. ERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and
correct. In addition, I have read and understand the NOTICE provisions included herein and agree to comply with same. All provisions of laws and
ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF
OWNER OR AGENT DATE
APPLICATION
•
N
DEPARTMENTAL REVIEW
I certify that 1 have examined this application and state that the information contained in it and submitted
by me or my agent to compile said application is true and correct.
Signature N' / n
Date / r7
Approved
Cond.
Approval
Hold
Environmental Health Application #
S" r✓ / �/
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W. 1101 College
Room 2004
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Planning/Zoning
N. 721 Jefferson
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Engineers
N. 811 Jefferson P7'd V4 e".7- 0
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Utilities
N. 811 Jefferson
Plan Review/Fire Prevention
N. 811 Jefferson
Other(SEPA/Critical Material/etc.)
Fast Track/Special Inspection Information
Protect Representative
Phone
Address
I certify that 1 have examined this application and state that the information contained in it and submitted
by me or my agent to compile said application is true and correct.
Signature N' / n
Date / r7