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1980, 07-02 Permit: 80-3164 InspectAPPLICATION/PERMIT SPOKANE COUNTY SPOKANE, BUILDIING CODES DEPARTMENT R NORTH 611 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB DRESS l 50. Lar I BLOCK ISUBDlwsON 2 a OwNERcb.kaOk w-( Q1' ADDRESS LEL0AL DESCRIPTION - SEE ATTACHED ARCEL NUMBE R/ 43 R N -$105 ed Set Bac. In Feet 16.00 Iw.O CONTRACTOR CX. Lss • ADom. z.430� DESIGNER } 7 _ 35) IP Size of Parcei Type Const. PHONE Valuation Sprinkler. Oa, ONO DRme'd MAW,. p Arae In SR. Fl. ADDRESS SIP OWL Ares a. ent Alda, Storage ANGE OF USE FRO TO Split Entr Split Level Percher TVP. D NEW" 0 ALT. .8(AD'N. 0 PPL.0 WOPK / 0 MVO. OTHER �. OF D PILO. 0 PLM*. Q(MECH: D M.H. 0 POOL No. Bal. No. MON No. Rooms Roc Room CERTIFICATE 01 EXEMPTION DESCRIBE WORK 1YLCp,M1 VALUATION l�'Sourm OAS �-6„ CCTRI wA EP SEWER it 1 hereby certify that I have.read and examined.this.epplication andhave read the "NOTICE" provisions included op reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will he complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate ar cpncel Me provi33lTdf-Sny 02602 Me or I0cffi'1aw regulating construction or the performa'n`ce to1ff1 cognsetvr-action. 4- - - _ ` DATE 4^ Y� aV �- —� --- SIGNATURE v UXL-.LeZ�. -, DEFT. PPECIAL APPROVAL* REQ'D. RECD. E nv.110.1111 Planning Flr• Marshall Co. Engineer u tnule• 2ori• Montan. SPECIAL' CONDITIONS: FEES COLLECTED Single i Building Plumbing 22—' Mach. Plan Cheek SEPA Mobilo Home Other lSPveifvl TOTAL �IPFRMIT NUMDFR I ®D-sIC*l DATE 1-4-� Cn• .900 •900 0 •9005 •QOC 8 31638 04-07-80 6E79. f\ WHEN MACHINE V0110011Or INSPECTION RECORD CONTRACTOR N S E SET BACKS DATE TYPE OF WORK W FINAL INSPECTION: REMARKS: