1984, 06-01 Permit: 84A-2968 InspectADDRESS
DATE
a '
INSPECTION RECORD
REMARKS
14/5
21/VIG
S"Jl-h3 I 9',
'PLAN NUMBER APPLICATION/PERMIT
- • ' 1 SPOKANE COUNTY - DEPARTMENT OF BUILDING 8 SAFETY
NORTH 011 JEFFERSON / SPOK ANE. WASHINGTON 6.6.O / 1100) 4346.7*
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
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work vvnl be to -KO. AIM *KKK .p0d10d 10(010 M n.1. TM granting of • permit doso not p..V.n• 1. 01 W 0N•
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ormml.onbn. jEE REVERSE 310E FOR REQUIRED INSPECTIONS
SIGNATURE OF APPLICATION -S
OWNER OP AGEN'M1- DATE �J-^>•-Py
SPEC ALAPPROVAL1 SPECIALCONOITI EE REVERSE SIDE FOR NOTICE)
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�,�;71•'L PERMIT IS NONTRANSFERASLE
._0 PERMIT IS NULL ANO V010 IF WORK HAS NOT COM MENCE0
FEES COLLECTED
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TOTALS
PERMIT HUMBER
84A -2•168
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WHEN MACHINE VALIDATED IN TNIS SPACE.
THIS SECOMES A PERMIT.