1981, 03-10 Permit: 81A-2122 Inspect.3-'•1;
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APPLICATION/PERMIT
SPOKANE COUNTY — WILDING CODES DEPARTMENT
• • NORTH 91t SPOKANE, WASHINGTON 99260 /legal aae pa)a
APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 3 COPIES
t me woo LEGAL DESCRIPTION - SEE ATTACHED
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1 hereby Certify that I have read and exam led this application and nave lead the "NOTICE" provisions included
verse side, and know the same lO by true and correct. All provisions of laws and 011 mces governing this
Ty"of work will be complied with whether specified herein or not. The granting of a permit does not presume
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so give authority to violate or cancel the provisions of any other state or Ixal law ieW latinn mintruction or the
performance of construction, SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
RMIMI,
DATE OF APPLICATION
SIGNATURE OF APPLICANT 1
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0305-81
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