1984, 04-23 Permit: 84A-3599 Inspect INSPECTION RECORD
ADDRESS
DATE REMARKS
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SPOKANE COUNTY— DEPARTMENT OF BUILDING&SAFETY S4A' 4'11
NORTH SH JEFFERSON/SPOKANE.WASHINGTON.00.0/MOM 4.0-3171
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SIGNATURE OF� APPLICATION
OWNER OR AGENT�- �J .yLT DATE �1G-Y-.1 1Asa. 1
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
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PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN TRIS SPACE.
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