1983, 02-17 Permit: 83A-1079 Inspect INSPECTION RECORD
ADDRESS
DATE REMARKS
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(RAN NUMBER I APPLICATION/PERMIT
SPOKANE COUPERMIT NUMBER
COUNTY— DEPARTMENT OF BUILDING&SAFETY 83.3- 1011
NORTH Ell JEFFERSON/SPOKANE,WASHINGTON MOO/(SMI 43E-3571 '
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
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SIGNATURE OF / _ /�\I •• APRICATION�S ,.Y1:g3 `/,1",
OWNER OR AGENT i77AAAA DATE (r u.a. J/. /:
SPECIAL APPROVALS SPECIAL CONDITIONS:SEE REVERSE SIDE FOR NOTICE/ !/
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