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1980, 07-29 Permit: 80-7492 Inspect� a INSPECTION RECORD OWNER LOCATION CONTRACTOR NSEW SET BACKS TYPE OF WORK FINAL INSPECTION: DATE REMARKS: t);,f, „s2. u11®: r AL r1- 45 rr8 `I � d L I/ 9ER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99380 / 1509, 456.3675 JOB •DDRESS LUI BLOCK APPLICANT: COMPLETE NUMBERED SPACES / 7i2D gAG SUB IVI ON PRI SS HARD TO MAKE 3 COPIES LEGAL DESCRIPTION - SEE ATTACHED OwNER a ADDRESS PARCEL NUMBER/S ZIP Actual Set Backs in Foot North Isouth East !West j471// ige57,-/ TO c. PHONE 7;714/523 '9 9,g/5i PFLEINE Size of Parcel Type Const. Ocoupancl, Sprinkler. Oyes Ohio 0 Pee,. Valuation Bonding Area in Sn Ft Mmn Floor Upper Floors Om,. Area Area of Docks Pinioned Basement Storage p.n. Basement TVP. Cilleged 0 ALT. 0 ADW. 0 RPL. 0 MVE. 7. OF WORK 0 BLO. )1K(Loi.. 0 MEAN. 0 M.R. 0 POOL DESCRIBE WORK 0 OTHER No. Mori. (I No Rooms ItIo. of Dwellings Rocrd INOt Rep, CERTIFICATE of EXEMPTION -VALUATION 9. SOURCE UTIP_IFTIES OA&I 71 re.s. ELECTRIC1 WATER Enum. Dist. Location (Areal SEWER ownership Krone 0 Private 0 USE CODE I hereby er1 rlht I have read ao(1eArrrrlfl.r r tt, .1,1( rrar 1 Ertl, on reverse role and know the sari, to (e. true 11,1 arr ir rrl rrirrr rar rrs 111, type «I nerk Pal be cornphed .1(1 Alo.11,, In (pre autllorlD varlate nr TT ran 1 If I' r I r. performance of construction SEE RFVERSE SIDE FOR REOUDIFE, INSPECTION DATE op Anal IC a r SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Ca Engineer • FEES COLLECTED S gi Building Plumbing Mech. Nen Check SEPA Molailo Home Other (Specily1 TOTAL $ aceea ( 1PERMIT NUMBER( .2-a 1 it 4 .3800 .3(300 to- ATB008 •000 (1.T C,/-22-80 0079