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1980, 04-11 Permit: 80-73 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR N S E SEt BACKS TYPE OFWORK/ FINAL INSPECTION: (^ DATE ,� REMARKS: / / .(X -_/-4277c Ze (34 „r, d-74, A -i v_e /(.-- - NORTH 811 JEFFERSON /SPOKANE. WASHINGTON 99260 / 15091 056.3676 APPLICANT: COMPLETE NUMBERED SPACES — PRESS (14111) TO MAKE 4 COPIES JOB ADDRESS „ca - LEGAL DESCRIPTION — SEE ATTACHED OWNEI2 AM Ae Pl 9 4F ADDRESS PARCEL. NUMBER, ZIP Required Set Backs In Feet North Louth East 1WeSt CONTRACTOR 13/4/,/,, ice-6e.v..is•A-.. A,ce4...‹...„; /7 Size of Parcei Zone Classification Type Const. Occupancy DESIGNER 5. ADDRESS Valuation sprinkler. lEyes 047 Pl., Building Area In Sq. Et. ZIP Dasermint Area Garage Area CHANGE OF USE FROM 6. TO SpIll Entry Split Level danCher TYPE 0 NEW 0 ALT. 0 AO•N. SPL. 0 NIVE. 7 OF wo,g,065.0. 005.00. .g-MECH. 054.0. 0 POOL °T"6 0 No. Baths No. Fioors No. Rooms P.C. Room CERTIFICATE of EX ENIPTION Not Rapid. DE BE WORK ,49z0 e/Z- .45;1740e da,q3--/o.S;z2,5W VALUATION SOurCe 6105 ELECTRIC WATER SEWER 9 0(011181. height/ [gild./ 71731 I have mad and 57171100,1 (1( 1'. apphcfaloo uot.1 0000 god the "Itlfl 1 It t o, molotlefl on reverse Offg, afid know the sante io br 000 .g..1 offtieci. 70 ogisogo lot, Lod oolg ((ov)1rrun., tho type 01 oftok 11711,110,1 ofhellgo sotggtood huiom oot. (101 di...Milli .. ....1 to give authooty to voflate ol 700171 the provogfo, Joy other flow or local 1.1,/ 011',411010n 01 the pert ormanCO Of construction. DA, /'---9—geif2 CIGNA I oft SPECIAL APPROVALS DEPT. REDID. E.. Health Mannino Fire Marshall Co. Engineer Utilities Zone Clearance SEPA CnocklIst SPECIAL CONDITIONS: oF,,c-gdLooxt6..,_ _APPROVER FOP 107H05CF FEES COLLECTED 51 (910 $ BuildIng Plumbmg mech. Plan check SEPA Mobile Home Other (57.6.57) TOTAL $ DATE 07. • 900 .9.00 tri .9.006 • 000 8 72-8 01-11-80 0479 7711.1 WHEN NIACHINL VAL IDAil II, cgSPALl7)15 . 9.0 0 t.tog, , g Pi itko