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1981, 02-25 Permit: 81A-1602 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR N S E W SET BACKS TYPE OF WORK FINAL INSPECTION: DATE REMARKS: cse( nLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH all JEFFERSON / SPOKANE. WASHINGTON 13160 / MOH 2663016 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1.0T I :LOCK 15OpBO1V15(DP! OWNER a h11EC C. "CNUSI VRa. CT. PHONE CM1-5981 LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/8 Actual 5e 6acka In Fat �SOUN CONTRACTOR SOFT U)(tits SEauta PHONE Size of Parcel �wat ien. cuumauon • ADDRESS E. Zti 3t'0 DESIGNER S' ADDRESS r ZIP 6142.0Z- PHONE Type Cond. I Oecueanee 500001.4 ❑y.. ❑ o ❑ R12. Valuation 1BUl061N Area In So. Fl. SIP a. Floo &rage Ara orafie CHANGE OP USE FROM 6 Pl TO BS NEW ❑/t LT. ❑ AWN. ❑ RPL ❑ MVE. 7. or 0 PLO. IL PLME. 0 BIRCH. ❑ M.N. ❑ POOL Q 0. DESCRIER WDU ATH vCepI SU oTIFeT6 VEC M r ELECTRIC • R ❑ 00020 pk. 1 01013113 0."10.01 I No. Ben. I No. stales CERTIFICATE of . . DRt. reed IAr 60066 DwnerMIP I USE CODE Public Onlvate 0 I hereby certify that I have read and examined this application and have read the "NOTICE" nrovIaions included on reverse side, and know the same to be true and correct. All provrsiona of Jaws and odlnancn governing this • type of work will be complied with whether specified herein or nor. The granting of a pelmet does not presume to glee authority to violate or cancel the provisions of any other state or local law regulaleig construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION Unfln. Basement No. Rooms INo. of Dwell... Ap'6. I R.ea. ryot Rp'd. FM COLLECTED S41 $ BulMlna * Plumbing tt . D o 0131. Plan Cheek SEPA Mob le el OOMr (SP•cilyl SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE •. E.w. Hea SPECIAL CONDITIONS: = Mir NUMBER el 160Z 03• •500, •500 t • 5008 A •000 1 16018 02 -18 -81 1. 6479. r w