1984, 03-21 Permit: 84A-2437 Inspect TTSPECTION RECO
ADDRESS
DATE
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' —RIANMANE* APPLICATION/PERMIT PERMI HUAtue. `�
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I SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY I b4-At-2437 1
NORTH ell JEFFERSON I SPOKANE.WASHINGTON Nf W/ISOFI FSINS/N
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WORK 0 PLAN.O MEC0 M.H. 0 POOL gamed KumI • IC rr.o ..D.O wO
Ann. P 6 A 71
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RrtrGA/ N..nw.Sb FEES COLLECTED
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S. r a UTAMS 1 *iii acwc.y rw.O wl.u�i
I Pantry waft Nat 1 New read aid es*NNlad this•PpllutISn and Mw read ted•NOTICE'otorlSbIS Included on
Iain..• ..sod knew RN sane NM Yes end*erred.All provisions of Nora and ordinances Oowrnl*O Nib type of I I
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SIGNATVRE0, APPLICATION s�,�� �/
OWNER ORA DATE .. 9 ¢I can ---
SPECIAL A OVALS SPECIAL CONOITIO :(SEE REVERSE OE FOR OTICEI
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TOTAL S
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W HFN MACHINE VALIDATED IN THIS SPACE.