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1980, 07-09 Permit: 80-4470 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK_ N S E W FINAL INSPECTION: SET BACKS DATE REMARKS: C fit,.vc.trF( 6. pc&re caps D r. NUMBER APPLICATION/PERMIT !PERMIT NUMBER A ffc,- 4i4,70 SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH SII JEFFERSON / SPOKANE, WASHINGTON 99260 / 150914503575 APPLICANT: COMPLETE NUMBERED SPACES - PRESS IIARD TO MAKE 3 COPIES JOB ADDRESS L el‘Tir 1 t l/glle. 510cOdl e i PARCEL NUMBER'S, 7.6-.3%3 - .20.'1Z LEGAL DESCRIPTION - SEE ATTACHED ■I 13.44-41fr 74p.ti/4,40.244. ke r z eite , MISER jo PHONE 3. rigrtEL H‘" ---. ‘ .12.4485'-2. LA gtERR Y Aie0/4, PARK ZIP Actual Set Bras In Fmt , , I . 4/ ' lw..2.4.• " C TRACTOR PHONE Size of Parpel , Z cumin.. n 4. l ZIP 6. DESIGNER TYIN Con. OPM1PencY p n ered Oyes 0No 06.00. V•luatlon Building Arm If eg. Ft. K/kNe, a.61 6.Fl000r, I Upper Moms 0am.79 Stomps ADDRESS ZIP CHANGE OF uSE /Rom a TYPE 14 NEW 0 ALT. 0 ADS, 0 RPL. 0 MVE. 7. OP 111 -. 0 MASS. 0 MECH. 0 M.N. 0 POOL OTHER No. Baths No. Stories NO. Rooms CERTIFICATE of EXEMPTION RSCIDOE WORK Enurn.01st. 1Location (Am) o a VferlatA6PSOU SCE - OAS 11ELECTRIC UTILITIES WATER SEWER OwnereMp I usa CODE P45111 00069*. (ill 1 hereby certfy that I have 11,11 and 01,111 .1 11111 appheet,L•1■ •ead 11, 111111■11, ,,..visions included on teett“e side, and know 1110 seine {:111 lel 1 011 ll,,0ll.01 Ii1011 1.0411,,,C64 governing this WOe of work will he ■■eeteled with W111,•■•■ ..111,111, /41,11•111■.1 rprpt I I■■• orranti, 01 , does 001 ptSSUIPP to give authority to VIOLIN' Or cancel tho .1ply o1,,e1 ,p .mstruction nt the performance otkoinuuon SEE REVERSE SIDE [DR REOUIIIED iNiSPECTIONS DATE OF APPLICATION.4.21. SPECIAL APPROVALS SPECIAL CONDITIONS: NANE DATIL Des Nam Emooner 7T4- A2t444- Ze#44.4.#44- FEES COLLECTED Single 13 Plumbing Moch. Pion Cheek EEPA Mobile Home Other Oloweilvl TOTAL 8 HFN rxerm *3800 *3800 0 5 - 8- 80 3 6479 eat