1984, 03-22 Permit: 84A-938 InspectThISPECTION RECORD
ADDRESS
DATE REMARKS
69A (K
'PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH Eft JEFFERSON J SPOKANE, WASHINGTON MIM J NEM ENGEM
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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a 40100 R0Nn. SEE REVERSE 310E FOR REOUIREO INSPECTIONS
SIGNATURE OF /A APPLICATI �� (/
OWNER OR AGENT/M l.>1 .-1 Jw J DATE N1. JI/'I�D�
SPECIAL APPROVALS SPECIAL CONDITIONS: NEE REVERSE EIOE FOR NO E)
6R..
SP,
Pr
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
WAY. 41. S4.00
IAN Oro
ANA
wart.,
mr Resit
TOTAL f 54.0e,
PERMIT NOW ER
64A - 9313
02• •SLGO
•56005
0 •DOG
0263
01-30-86
3 6479
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.