1984, 03 Permit: 84A-1949 Inspecth1SPECTIO1 RECOPE
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
*00001111600ERSON 7 SPOKANE. WASHINGTON 66260 / 15061 456-36 75
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
2
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1 0.0.03 c.rtlly 10.2 11,.v. re. .1,d ...min.d Inl..00lic.tlon and nava 1.00 Ina •NOTICE' pro...on. Inclv0ed on
P0.. an0.1,o. t1,• vara to De trva and correct. All p.ovlalo0s of law6.nd 00011,0,0.• governing this t0 . of
worvI M complied .fill whet., specifier) herein or not. The granting of • perm. 00.. not p...vm• to Olv..v
R0r31y I0 doll. or 01,0.1 In. 01041.301,. 01 any oma. Stat• or local .. regulating 0onatrvc0on or the p.norm.no•
of condr .atoll. SEE REVERSE SIOE BOA REOUIRED INSPECTIONS
SIGNATURE OF A A APPLICATION
OWNER OR AGENT 3 /�L DATE /I�y,% / /f[tC
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE 510E FOR NOTICE)
HIED... L 04Tf
4147
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PE6010 IS NONTRANSFERABLE
frva
•� X
FEES COLLECTE0
..o N 34=2,
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01,.r Row")
TOTAL S
P69331T NDEIBEA __"- -' I
14341
r47_
•34206
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.