1983, 05-03 Permit: 83A-2226 Inspect311SPECTION RECORD
ADDRESS
DAZE REMARKS
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SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 011 JEFFERSON / SPOKANE, WASHINGTON M500 / /5051 451.551{
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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LEGAL DESCRIPTION:
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1 hereby carllf/ IN.1 I now man one *gamine! this aO011caIIOn and nave road In. •NOT/CE• provl.Nne 100104.0 an
revere* .1oa, ane Woe the saws N se true and 001000. All ((0.1.1.0..1 lars said aQA.Ne* gowning 1114 tee* Y
a .111 ...wow elfin onellw seocI Sd herein a 001. The granting of a pawl! &Oe* not Amo me m giro au.
Parity 1. 01041e or cancel the provisions et any ether or kcal Ian regulating eoneN0Clmn a IM performance
of F0nelroclI0n. yCE REVERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF .+ A7Y—ATIO
OWNER OR AGENT �/ 1/L[eCr'�_e DA.E J-ZRt'-tSS
SPEC AL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICEI
.aFLN. Pew 0.3
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SHL 551. ...•
PERMIT IS NONTRANSFERABLE
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FEES COLLECTED
7S•
TOTAL 5
PE 1 NUM5ER
02 .7500
•75000
•o.00 _
2 1.3-:
53-20-C3
6079
WHEN MACHINE VALIDATED IN THIS SPACE,