1983, 08-29 Permit: 83A-6929 Inspect IlVSPDCTION RECORD
ADDRESS
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777
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nAN NUMBER Af PL ICAI ION/I-atHMll
SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY I Bark-6Q.a.(
NORTH 111 JEFFERSON/SPOKANE,WASHINGTON HHS/ISH)451.3175
APPLICANT:COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES
StnEET AOOnf18 PARCEL NO.
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I hereby artily that 1 haw road and examined this application W Mw reed Ihe•NOTICE•provl.lona InOiWed on
reverse aide,and know the same to he true and corr..All provl.lona of lows end ordinancoa governing iiia type of ....N 54-,'
worn will pe compiled with*Who,specified herein or not.The granting of•permit goes not prom.la give au-
,,,,,y le 1111.1.w ancH the provisions of any ether Hate or kcal law regolating constr.'.or the performanc•
of construction.SEE REVES E SIDE FON REQUIRED INSPECT $ nv.pro
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SIGNATURE OF / APPLICATIC ....
OWNER OR AGE L` DATE
SPECIAL APPROVALS 7ECIALCONOITIOIA:(SEE REVERSE SIDE FORNOTICE 1,1
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.......FRaSLE WHEN MACHINE VALIDATEDLIN THIS SPACE,
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