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1981, 01-22 Permit: 81A-345 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR N S E W SET BACKS TYPE OF WORK FINAL INSPECTION: DATE /=02r2- REMARKS: NUMEER APPLICATION /PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 011 JEFFERSON / SPOKANE, WASHINGTON 00]00 / MOW 4063676 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOS ADDRESS (�{ �(0�} 1, /��OCI( LEGAL DESCRIPTION - SEE ATTACHED tOr 1S'{IIDIpI516 PARCEL NUMBER/S OWNER a o pW 4Li ONE .1241--L58/ b58/ 9L eL .-el.-kg e e. a/ SIP 99206 Actual Set Becks In FeN Homo 'South 1 eota west SPNT CT R / �.i?a�uf/iSrl.uLPA- PHONE HSo=8a5 -cart I Parcel Z CRN111001on a� Dd /� y pJ aS. 3./d '1 JIl 47 ,4d..L. rev 993o.t WA Conn ccuana SwInklWw ayes 0Ne ❑ Rp'd. 4A/ DESIGNER PHONE VNeenen Building Area In Sp. Fl. S' ADORES rP Male MOW I Uwe. FM.. Dare. Area I Storage OF WE FROM ITO a Arp 0 Own. I Pinioned mel I MNmenf Gomel TVPE 0 NOW 0 ALT. 0 AWN. 0 RM.. ❑ MVL T. wosN 0 .Lo. T PLME. 0 MICR. 0 M.H. ❑ POOL ❑OTHER No. Baths I No. Etwlp No. Rams IN.. of Dwellings CERTIFIGTE Awed. I Recd. Ploi Rp'd. of EXEMPTION DEf WORK Enum. DIN. Dull*" (Aral FEES COLLECTED vAL . SSOURC OAS ELECTRIC WATER SEWER 9. UTI8PTIES I I o.n.o., uss CODE Public 0 PrN01. 0I smile E I hereby certify that I have read and examined this application End have read the on reverse side, and *now the same to be true and correct. All provisions of laws type of work will be complied with whether specified herein or not. The granting to give authority to violate or cancel the provisions of any other state or local law of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS "NOTICE" provisions included and ordinances governing this Building of a permit does not presume regulatinn construction or the Numbing performance DATE OF APPLICATION / - /z-P( SIGNATUTF OF APPLICANT Mph. EPSOM. APPROVALS NAME DATE SPECIAL CONDITIONS: G 7�� �n Y Y� Plan Doob 1 &1 UM Lnv. ean" mein• Mobile Nom Ire .shall 0. EN lnesr Other lEp o M thine �O- TOTAL 8 i �'. PER MIT N .n 03• •300 •300 •3008 0 •000 8 34us 01 -12 -81 s 6479.