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1980, 08-12 Permit: 80-1365 InspectOWNER INSPECTION RECORD LOCATION TYPE OF WORK CONTRACTOR NSE W FINAL INSPECTION: l� SET BACKS DATE REMARKS: • I _4.11 E _V ••••• SPOKANE COUNTY — BUILDING CODES DEPARTMENT" NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 08160 / 16001 466.6680 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 108 000 01,55 i. 2. JC Iii ,J �MtNT _30.11 OIDCH 019/31 off 2 LEGAL DESCRIPTION - SEE ATTACHED OWNER �;Z:00 '$0015A ADDRESt 3T 1'T E, 1z4Cl O1.DNE 3sd'-4o9c ZIP CONTRACTOR t ADOnHN EIQZ6a PHoN Rya 11- a s- 9Q7 Gwwrw 88I Smite In FNI 110,11 km. Ism or Phenol on. CN.xnnllon LIP D0IONER Y6.Lbnn [010004iO4 SN,nnINW ❑YN ❑ 0 0 Retro. &I lion Soneln. AIN In SR. PI. ADORERS ZIP OWL Ar.. •.wmont AIN 0,1.0 MCI Wan CNAHOE OF WE FROM TO 801)1 Entry R.nc 1YPE f'� NSW 0 AIT. 0 AD'N. wo0R 0 OLD. 00I10E. �I MEC.: or_scrose *Silk 0 RPL 0 KW 0 MVS. 0 0002. OTHER No. Roomy Roc Room CERTIFICATE 1 EXEMPTION w'e. I RN'a. Flel R ( kClATri6" 32 C'" t�IP wn.. 0. 411110. RIO wATER SEWS 1 11.1NUy cerbly that I have r*d sled elunln1Nd Ihn application and have rood lhb "NC 11f E" in 00Nl001111010(1011 gm nye Ada, and know the same to be Imo and a rrocl. All pIOvDInn* 01 1uw. ,n 'I' 1,441 Wi 'line 0.4 dl type of Wolk w 4 ConpI,N 161111 31101)101 11160111011 Vele,,, N' NUt. Thatante!, anhne .1 !pi( nn IS n, In Stye aulllorily to 0101016 Or C.Ie,1 INN pr0vi*One 01 40y other trete 991""1 Ia. , ow.. ".n11 CSA6Irucbon or In. INloep0 1180 Df 60Ra1N81100 WTE r/ zirc 0f0NATURF/ DEPT. & MAL APPROVALS 510'O. .808'0. en, myll. W.nnlno -1100 Mennent . Ca. leant. O 111118. 5108. B4n61n1 Plumbing Plan Chock 5EPA Mob.. Homo Me. lOooIlvl 6.00 TOTAL S 6'0181 Ty/II N MACHINE Vnl II in HI L•, Ully.yM1,� AW. DATE 3 •600 S 1364( 02-20'8,0 A 64%9