1985, 01-22 Permit: 84A-3570 InspectFLAN NUMBER
APPLICATION/PERMIT uPen ruoi+9n----
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY I P4 -13r (
NORTH 111 JEFFERSON f SPOKANE. WASHINGTON MAO / ISM 1545171
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
sown AOO.E4
1. c.2. 12 '.o '4Y10
LOT 4001 1140M*OM
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TYPE 0 NEW 0 AIT. 0 *DWI. 1 RPL. ❑ SAVE.
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0 OTHER
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Nse•U7 0.01117 IMI 1 NEW IWWO NV wan . * Ino application .n0 nava read IM •NOTICE • 00001.00. NK10000 00
.4., awl Wow N.. men 10 M Ir.0. And 0011.001. All pro0Nbn. 01 laws snot sn4l0awa 0ev_0100 1(16 40. 01
work Plied aim 70.111* .0..0111.0 n«wa• we
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1nsn110lrnw.
b via* or camel 1M provisions el l ow 00w Halo or but laa 10011141100 0 0Nructb0 01 1M pwlpm.r.0
of penalrlClbn. )EE REVER WE FOR RE IaED INSPECTIONS
SIGNATURE Of APPLICATION _ 9 8
' _
OWNER OR AGENT, [l .7/mk DATE I CJ
SPECIAL *PPROYALS
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SPECIAL CONDITIONS: REE REVERSE SIDE FOR NOTICE)
FEAMIT la NGNT5ANSFE AA01E
PE0M1T 15 NULL AND VOID IF WORK WAS NOT COMMENCED
FEES COLLECTED
6.011 0.1 7O
0P 001
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Dow YP.e0I —�
TOTAL S
G2• •2006
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.