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1980, 07-30 Permit: 80-3095 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK NSE W SET BACKS FINAL INSPECTION: DATE r APPLICATION/PERMIT PERMIT NUMBER /. .C)C1 SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH JEFFERSON SPOKANE, WASHINGTON MED r (5010 460.3676 APPLICANT COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB AODRESS '. V& LEGAL DESCRIPTION — SEE ATTACHED ir it44,C0 2. I PARCEL NUMBER'S OWNER PHONE Pc Rose 1474.1 ZIP 992el Required Set BaCkS In Paat North ISOuth1hra t CONTRACTOR AA -1 HE/Tr...44 AncytoNp ime. PHONE 4..p9_95-8/ Size of Parcel To'n•ClassilleatIon$ 6 ADDRESS E klFtLe--7 ZIP eig,PCT Type Const OccupancY Sprinklarae Do. 0No 0 negro i45- DES! NER PHONE Valuation Bull0Ing Area In Sg. Ft. 5' ADORE. ZIP [1,,t_ Area a...Imam Area oamort Area Storag• CHANOE OF USE FROM TO 6 Spilt Ent, Split levat 1 leonahor 0 NEW 0 ALT. 0 AWN. 0 RPL. ID AWE 2. OF ' 0 OTHER MECH. 0 00000 *6.0 0 PLM6. )24 NI.H. 0 POOL No. Baths No Floors i no. Rooms [., Roc Room CERTIPICATE 2.04, Rae c r Ago, of EXEMPTION DESCRIBE WORK a ()kJ '1/2 --Fr r,1 HEPuniP FEES COLLECTED 00190 $ VA(1,21PN- So..rca OAS ELECTRIC W0000 00460 of 9. DI.. 7 I hereby certify that I have read and euaned this application .id have lead the NO 11111 pro,Isions included on imeise side, and know the Serne tO Di true and cortect All provisions of laws and mdmances governing this type of work wtll be complied with whether specified herein or not. The granting of a permit does not presume to gwe authority to violate or cancel the provisions 06 400 other state 01 10041 law regulating construction or the performance of constiuction Slr.NA I ORE Plumbing Mech. Pla Cher k SPECIAL APPROVALS DEPT RECID SPECIAL CONDITIONS. o Env. Haalln SEPA PlanMno Mobile Home Firs Marshall Co Eng.., o Other ISpecolyl Ut kilt. TOTAL $ 9.00 • DATE 0 A • 9 0 0 • 9 0 0 11 • 9000 8 (104? 00-114-80 9 111679