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1980-07-10 Permit: 80-6864 InspectAPPLICATI ER SPOKANE COUNTY — rRTMENT NORTH 611 JEFFERSON / SPO 1 416 -4676 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 1• JOB wN,) kE stfe I sIDN 2. 3 14' I U ,m 0,4440,614 Ano. LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBERS OWNER a /Vac eilFUS xyve710 Fv PHONE 9a-voA7 ADDESS 0p 127Z/ SFRFYVd[6' CONTRACTOR WI* dr tar ADDRESS SNinE DESIGNER 6' ADDRESS ZIP 9f44 /8551 Yu3 Actual Set Backs In Feet n /0' Is oua 30 East PHONE ZIP Tv.. Cond. PHONE Zip CHANGE OF USE FROM ITO ], TYPE KNEW 0 ALT. 0 AWN. WORN KI34.0. 0 PLMS. 0 MECH. yS3 5Do Mal y Floor 0 RPL 0 M.H. 0 MOE. 0 POOL 0 OTHER ESCRIBE WORN a c5/A. ALUA� si 9. 39.50O..° FG/1VF!' cS nLC OAS r eL CTRIC I WATER UTILITIES w. �rt 25 n. cuulnuNOn 9 /NQc.e f 9.,./LY Floors Sprinkler. Oyes ON. 0 Nowa. Building Area In Sp. Ft. Upper O'2 AN. T. at0Np• Ara or Decks I Finished Basement I Uysement N Storlea of Dwellings z No. [No. / of EXEMPTION We. I Roc a, j4O✓p'a. Enum. Dist. I Location (Areal II No. Baths SEWER 56P/!L BE CODE non�'o wnat. I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included reverse on side, and know the same to be .me and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does of presume to give authority to violate or cancel the provisions of any other state or local law re. .ling con ru tion or the performance of construction. EE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION 7n / //''n4,�' SIGNATURE OF AP- (CANT SPECIAL APPROVALS NAME DATE SPECIAL " C�ONDITIONS: TmaMSrS On./ FrLE l buy 1IG.6,-- Jo pv4.1c� aarb el e P1ctf' 0, E f TTT tk'. FEES COLLECTED Si pi $ Building /116./....'° Plumbing Mach. Plan Cheek SEPA Mobile Hama other lep.alHi TOTAL S -et. go - 686¢-.` 02• +21000 •21000 k •210008 E •000 8 67568 07- 08'40 f eaT OWNER INSPECTION RECORD CONTRACTOR LOCATION N S E W SET BACKS TYPE OF WORK FINAL INSPECTION: - %/ ti DATE REMARKS: Cf-IeCK Fc -)Lt -Ao412 tn APPS o l-- /t/z ADDRESS PERMIT NO. SPOKANE COUNTY BUILDING CODES DEPARTMENT CORRECTION NOTICE This work does not conform to the requirements of the Building, Plumbing and Mechanical Codes in the following: DATE: % /g'e- For further information call Inspector 4:00 PM weekdays. at 456 -3675 between the hours of 3:00 PM and