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1980, 07-10 Permit: 80-6934 InspectIPI.AM NUME[R APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99200 / (000) 4863078 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES -roe ADDRESs 1. E. 8003 Boone IAT 111.000 LEGAL DESCRIPTION - SEE ATTACHED SINDIVreION 1 OWNER a Janes Berry E. 8003 Boone PARCEL NUMBER/3 "n-1870 ZIP 99206 North see Eaekin lSoumeeIEaA INN( ,CONTRACTOR 'Servisoft Systems* 'Intl Indians PH34A-6651 Size al Parcel I ZOM CNulllnatlon 0/7 99205 Topa Corot. Occdpen07 I Sprinkler. 01,6 Oso 0 R.e d 08SIGNO1 B' ADDRESS PHONE Valuation 190112ing Are. In SO ZIP M.In Floor UPPer Floo • I Oar.. Area storage CRANES Or use PROLE a TO TVP[ - 0 NEVI 0 ALT. 0 AWN. 0 RPL. 0 AVE. OTHER T. WORK 0 OLD. 0 FUME. 0 MECH. 0 11.11. 0 POOL Are. of Decks Finished Seminent No. EMIR I No. 870.181 CERTIFICATE of EXEMPTION L nlln. 110mant No, Room. INo. of Dwelling. Rp'e. Recd. Plot R.S'e. I DESCRIBE WORK 8 Soft Neter Enum. Dist. Location (Area) VALUATION SOURCE UTILITIES EAa I ELSOTRIC WATER SEWER OwneNniP Public 0PrNat@ C INS 000[ 8. I hereby certify that I have reed end examined this application and have reed the "NOTICE" provisions included reverseon ode, and know the same to be true and correct. All provisions Of laws and ordinances governing this type ofworkwill be complied with whether specified herein or not. The granting of a permit doe not presume to give authority to violas. or cancel the provisions of any other state or local law regulating construction or the performance of eantruction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS ATE OF APPLICATION 7/8/80 SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE rite Marsha „Co. Engineer Ullllller SPECIAL CONDITIONS: FEES COLLECTED Singl Building PlumbIng 3.00 Mach. Plan Check B Mobile Home OEPA ther 119.1701 TOTAL S 3.00 PERMIT NU 1/111g, 03• •300 •300 8 •30015 E •000 8 69339 07-10 9 64' OWNER INSPECTION RECORD CONTRACTOR N S E LOCATION W SET BACKS TYPE OF WORK FINAL INSPECTION: DATE REMARKS: I