Sprague E 9919 Spokane Valley Travel - Sign
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(THis is NoT a PERMar)
BUILDlNG PERMIT ARPLtCAT10N 1NORiCSHEET
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PLEASE PRINT AND C4NlPLEtE OIVLY THOSE PARTS OF THE FORM YDU UNaERSTAND
CdMPLE7E IN INFS
(Pl+ease return ihis orlglnal and your bullding plans lo the bspartmentof Sulld3ng and SatetY)
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❑ W.1t01 Collega
Room 200 ,
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N. 721 Jefterson
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❑ Fast Tndc/SpW811rropection inbrmetlon
ProJect Representative Phone
Adaress
t certliy fhat i,have examined thts appiication and atate ihat ths Informetlon contal'ned in tl and submjtted
by me or my agent mpile sald eppllcatlon 194rue and correct.
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