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1981, 04-20 Permit: 81A-2774 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR NSEW SET BACKS TYPE OF WORK FINAL INSPECTION: a-2- c --S-A. t-< P DATE REMARKS:— ,;2c L',;) / %9 2 /f 7;,7:„/��-,.- �ncx l C %� yvuiA cv. 7e (2e6' 0 NUDGER 3/.14/e/ PPS'' SPOKANE COUNTY L.-- ' .DMl6 CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99280 / 16091 156.7576 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JE ADDRESS *: .11 LEGAL DESCRIPTION - SEE ATTACHED Qg.Ioata/cI .L7AJ...i�.rLa*c44TAE4dtiP'9� a,-. Aa .s 'ruses PHONE ,'757-0/x"7 PARCEL NUMBER/S ,23.531- 9/.9.3 -/S// -M 5E .4T TAILINE0 /.ECcaL ZIP 492>2 OrErTRACT Arlid r/0 969* a 488 PHONE Actual SN Becks In FM So Isopto so Zon0ItI I*e,t 9H ion AidetTr ..!«.TC Sias of Nicer ZIP PHoNE 111. AlV I9i alu�)lon Bulletins Area 158. Ft. r 0 UD Main�2 Up erFl000r/ diem.. Area StoElite CW+NO! OF USE FROM a. TO Ar. «k, Finished Samm•nt Unfln. Basement TVR 7. OF WORK 0 NEW 0 ALT. 0 AWN.. 0 RPL 0 PAVE. 0 (L0. 0 MLD!. 0 MECH. 0 M.H. 0 POOL 0 OTHER No. Bath, No. M*O•6 j No. Rooms Social. riot R.6'd. CERTIFICATE el EXEMPTION 016'6. No. o1 Dwelling, clop wonK // gn In.«I air (A, 7' „ ..e. A2'..,5-,;-') WREnpm.Dlat. Lo. tion SOURC OA] IC SEWER pwneNnylo USE CODE Y. J ,o UTIMIE] Public pUFava. o -1 p by certify t7at,l have read and examined this application and have read the -Nit: i1 I' nIOVliiom IIIClunOH on reverse Ede, and know the Bama to be Nue and colmct. Ali provlHpns of laws am, (1 n. governing Ihrs type of work will M complied with whether specified herein or not. The granting of ., I ones not prv+ to give authority to violate or cancel the provisions of any other state 'or local law re construction Or performance of construction, SEE REVERSE SIDE FOR REOUIR ED INSPECTIONS i SATE OF APPLICATION .1 -25-?/ el SPECIAL APPROVALS NAME DATE SIGNATURE Of APPLIC SPECIAL CONDITIONS: FEES COLLECTED S' al Building Plumbing v Plan Cheek SEP0 rw Mobile Roma Other (S000,fv) {y �d TOTAL f_ 03• •9001f' •000 ,:7ZZf :�.. 03`-26.'811 07* *"5000'.1 .5000 1 •50o,oa. 0 .000 27731 03-26..81 f 61179 WHEN MACHINE VALIDATED IN HOS SPACE, THIS BECOMES A PEWIT. 11