1984, 04-18 Permit 84A-3436 InspectADDRESS
DAB
7-Io
TISPECTICN RECORD
PLAN NUMBER
1TIFET AOOREL
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
-NORTH fit JEFFERSON f SPOKANE, WASHINGTON KTfg f (S09)1SF]f1S
APPLICA( COMPLETEf NUM1MBERED SPACES — PRESS HARO TO MAKE 3 COPIES
1. Q[514"
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PARCEL NO.
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LEGAL DESCRIPTION:
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I Rangy certify Intl I haw reed and a.amlnthis application and have read Me .NOTICE' provision. Inclosed on
'P(now m ',wee elde, and (w the u. to M true and oar racl. All provis Iona of laws and ardinancea governing IRIa Iype of
warn rill 00 complied with whether e9Kllled hare. or Mt. The granting of a permit does nal pr....to gl . aO-
th.ity to violate or cancel Oa provisions of any other stale or local law regulating construction or the performance
of construction. SEE NEVEflS IOE FOR R( 1RE0 INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
...IN. FINAL DATE
DATEIGATION�_/ 2 G�
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wels'
4/
SPECIAL CONDITIONS(4SEE REVERSE WOE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT 15 NULL AND VOID IF WORK HAS NOTCOMMENCED
N.D
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FEES COLLECTED
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Vii6.11aro
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TOTAL S CCD
PERMIT NUMBER
84R - 3a3L
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.