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1981, 12-29 Permit: 81A-7024 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR N S E W SET BACKS TYPE OF WORK FINAL INSPECTION: DATE REMARKS: PERMIT NUMBER SM -70)4- 06• •16006 01600 G 016009 •000 0 7023t 07 -15 -81 6679...:.,9 IAN NUMBER APPLICATION /PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH Ott JEFF EPSON / SPOKANE. WASHINGTON 99230 / 1509/ 456 -3615 APPLICANT: COMPLETE NUMBERED SPACES – PRESS HARD TO MAKE 3 COPIES TYPE JOB ADDRESS • re7 97x9 LOT I BLOCK ISUBDIVISIO 2. 3. OWNER fi/ /fter �eiC ADORESs LEGAL DESCRIPTION - SEE ATTACHED PHONE ZIP PARCEL NUM0ER/S Actual Sat Backs M FM. North (South East ivmst a. CONTRACTOR e.L ar ADOPE /7z1y /rte. DESIGNER S' ADDRESS CHANGE OF USE FROM a • un. Tge. 3�rlo � 51.• of Parcel I ions DIawBT.DOn nP 99zo/ Tyaconst I oa0an.r Sprinkler. Oves ❑NO 0 Rep'.. PHONE Valuapon 1BU90In. Area In So. Ft. ZIP Main Floor uepO Floors Garage Aran ITO Dow 0 ALA. IC AD'N. 0 RPL. 0 MVE. woos D OLD. 0 PLMB. . MECN. 0 M.N. 0 POOL DESCRIBE WORN a —C.ss >f //l VALUATION 0 OTHER Area of Dacia 1 Flnlas. Basement I Untln. Baam•nt No. Bathe I o. Stories No. No. Rooms IN*. of Dwetane CERTIFICATE Rm.. I Rm.. rot Rq'a. of EXEMPTION e. .1 SOURCE ✓ OAS I ELECTRIC UTILITIES ATER SEWER Ownership Public 0PrNate 0 USE CODE I hereby certify that I have read and examined this application and I. 110 lad the 111)i It,i nluvlswns included oo side, and know the same to be true and correct. All provision, ul lawn and li es governing this type of work will be complied with whether specltieds herein o t. the III ling of n n' -nnrl lrloes not presume of give authority to violate or cel the provisions of any other state or local law regular 'n construction or the performance of construction. SEEE� REVERSE SIDE FOR REQUIRED INSPECTIONS / I1ArE OF APPLICATION.. �L( = —cr/ .__ __. SIoNA TUNE Ur al r r it niv l A N / // .c4 ? " SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE FEES COLLECTED Sing) { Bunning Plumbing Mach. 14.0Ci Plan Clunk SEPA Mobile Horn Other (Specify/ TOTAL S WHEN MACHINE VALIDATED IN THIS SPACE,