1984, 02-16 Permit: 84A-1006 Inspect INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
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APPLICA I ION/PERMIT
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NORTH SII JEFFERSON/SPOKANE.WASHINGTON 90000/16091456-3415
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SIGNATURE OF G1 a((B APPLICATION n 3 (� .in,OC
OWNER OR AGENT EL Q//f..2 DATE 0( !' .J,
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICEI
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