1983, 8-15 Permit: 83A-7804 Inspect4kANNUMBER
APPLICATION/PERMIT ?9
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY S34c1.5
000001111 JEFFERSON 1 SPOKANE. WASHINGTON WOO / (5001453-3075
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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rave,. .I0 0 and Into. the ym• to M true end Insect. All Provision, of laws Ep. wdin.ncw governing t0N type of
p�IR 01 comOUM w•n .Miner 10.. 0? hereto or lye. Tn. granting of . permit do« not Pr•.vm• to glve au-
ty to vlolal• or cancel tis D evlslw, o1 any DINT state or local law regulating oon.Nuctlon or the p.Hpmanu
of c0n,Nvctbn. 5E1 REVERS IDE FOR REQUIRED INSPECTIONS
R:: Cr APPLICATION
OWNER OR AGENT 1 '• rn DATE y—/,J—.,7
SPEC AL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE(
.EPA
FEES COLLECTED
Plyrzyng
PhIch
Omak
4.O. Man.
our 40.+101
TOTAL t
feo
08• •1000
•101008
A 0000 8
7807_.'
08-15-83
E 6879
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