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SPOKANE COUNTY DEPARTNlENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certity that I have exammed ihis petmit and state that the iMormatWn coi►tbined in it ancf slibmitted by me or my agent tc Compite said permit is true and cofrect. In
adclition, I have read and under,tand tho INSPECTIOh PEC?UIREMEN?"Si NOTICE provisions included ne+ein and agree to comply with same. All provisions of laws Snd
ordinances governing this type ot work wi!I be complied with whetlw:r sper.rfied herem or not I tjrxferstand that the issuarti;,e of this permit and arry subsequent inspecticn
amovals ur Certdicates of Occupancy shall not be construed to give authority to viol.ate or cancel the pro.+,:.ions of any state or Iocal law regulatir►g construction, or as a
warranty ot conto(mance with the provisans of aliy state ur locat laws ►egutating cunstruction.
SIGNATURE OF APP,_ICATION
qVVNER OR AGENT DATF
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