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STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front)
I. If you want this receipt postmarked, stick the gummed stub on the left portion of the address side of
the article, leaving the receipt attached, ana present the article at a post office service window or
hand it to your rural carrier. (no extra charge)
?. If you do not want this receipt postmarked, stick the gummed stub on the left portion of the address
side of the article, date, detach and retain the receipt, and mail the article.
3. If you want a return receipt, write the certified -mail number and your name and address on a return
receipt card, Form 3811, and attach it to the front of the article by means of the gummed ends if space
permits. Otherwise, affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED
adjacent to the number.
L If you want delivery restricted to the addressee, or to an authorized agent of the addressee, '
endorse RESTRICTED DELIVERY on the front of the article.
i. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return
receipt is requested, check the applicable blocks in Item 1 of Form 3811. •
i. Save thjs receipt and present it if you make inquiry.
U.S. GOVERNMFNT PRINTING OF-FICE 1978: 269.897
UNITED STATES POSTAL SERVICE
OFFICIAL BUSINESS
SENDER INSTRUCTIONS
Print your name, address, and ZIP Code in the space below.
• Complete isms 1, 2, and 3 on the reverse.
• Attach to front of article if space permits,
otherwise affix to back of article.
• Endorse article "Return Receipt Requested"
adjacent to number.
RETURN 1p
TO
PENALTY FOR PRIVATE
USE TO AVOID PAYMENT
OF POSTAGE, 6300
Spokane County Building & Safety Dept.
(Name of Sender)
North 811 Jefferson
(Street or P.O. Box)
Spokane, WA 99260
(City, State, and ZIP Code)
p
Inter -office Communication
To GLIr
From
BUILDING CODE DEPARTMENT
SPOKANE COUNTY, WASHINGTON
Date ( 9. `
Time -
'lotto lov4
, 19_
CLAT Rf,c6vE.D cortplaoiwF Ceor� T2O1€t. Sotm$6,12‘-qq51,-
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(/O11M 7511 BLDG. CODE 1011 9-60)
pAz,
Bond Fee By
aweD
Inspector
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