1983, 05-04 Permit 83A-2073 InspectADDPESS
DATE
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INSPECTICN P.ECDP.D
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ELAN NUMBEI
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APPLICANT
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APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH SII JEFFERSON / SPOKANE, W ASHINGTON NINO / ISOSI 4643.rj
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
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INnedm /w a oerlly 'MI I haw road and e.4R4. ed InN appRoallon and nave read IM •NOTICE' orovlslona Inc
luded on
nada sly' and ana. Me MM. Id be tree and cor4Kl. All provisions M Nrs ond wdlna.c Sovarnlnp IMr IYpe al
.IN pa oomoIled .IIn .Miner sown,.ne.Nn a y1. The Swly ro vlgala or can0M me go0Nlons W F otnet stale or local latw Faing p 100nd or pennIt deal tIo pre Ina to plw au.
Nonn.Nvctlon. EE REV RSE SIOE FOR R ^p ov.s4uctlon w Ina perlamrNa
OVIRE IIe SPECT10N2
SIGNATURE OF•.
OWNER OR aOENT=��F_� �)..-J% APPLICATION
PNT— DATE
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SPECIAL APPROVALS' SPECIAL CONDITIONS: (SEE REVERSE SI
DE FOR NOTICE!
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1111.11111
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'RP. FERN IT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID
VOD IF WORK HAS NOT COMMENCED
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FEES COLLECTED
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TOTAL S
WHEN MACHINE VALRMAT IDED SP IH THIS ACE. THIS BECOMES A PEIT.
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