1980, 12-24 Permit: 80A-9913 Inspect 7
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NNDMgER APPLICATION/PERMITER I
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NORTH ail JEFFERSON/SPOKANE WASHINGTON /ISOM/68.3076
APPLICANT COMPLETE NUMBERED SPACES P'50I IAREATO MAKE 4 COPIES DATE -
JOB ADDRESS
04• *9.00
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PHONE Valuation BPII61ne Area in Sp.Ft. -
ADDRESS
5' CHANGE OF USE FROM ZIP OWL area Emmen.Area D a Ar.. Storage l
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�I 9. VALUATION •L.il�oo7�fG •, /O �'4' 7 FEES COLLECTED
TION i/%/I (/// SEWER
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I hereby cert ly that I have read and examined rhlt anal cdUol J d I ad thn NOT ICL•props til s Included - I
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e true and correct.All pro 'o of lawInd
s Ul dinum:es governing rh is Building
i type k 1 wllathi speed ied here, The t I I til presume
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eal the prop ons of any°the state or local law regulatim
ng conStctlon or the
I perto formance of construction. Plumbing
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GAILSI;NAIURE____.__. Mach. /M .
SPECIAL APPROVALS SPECIAL CONDITIONS:
On..H•41111 ,eEq•D. BeL o. 410,DOC gra' Pim Cheek
PlanningmPlanningV / SEPA
Fire Marsh.
Mobile Home - -
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Other*MHO. (3 ,_og gO
TOTAL $ /
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