1983, 09-23 Permit: 83A-9444 InspectINSPE)=GN RECORD
ADDRESS )
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Is: .
` AN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING 6 SAFETY
NORTH SII JEFFERSON I SPOKANE, WASHINGTON MHO I (SOS) SSS -MTS
APPLICANT: COMPLETE NUM BE REO SPACES —PRESS HARD TO MAKE 3 COPIES
SrnLFr,00REY 7
PARCEL NO.
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LEGAL DESCRIPTION:
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FEES COLLECTED
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SIGNATURE OF /
APPLICATION
OWNERORAGENT
SPECIµAPM S
SPECIALCON/O�ITION (O$EEREVERSE SIDE FOR NOTICE)
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TOTAL
S
03• •4500
.45008
A •000 8
9443[
09—p3-83
f 6479