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1980, 05-14 Permit: 80-4605 Inspect
INSPECTION RECORD OWNER LO ATIO CONTRACTOR N S E SET BACKS TYPE OF WORK FINAL INSPECTION: DATE REMARKS: S- /y- Fre) ©t es,, 5.see"9 Zr '..ti4 PLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT «0010 SII JEFFERSON / SPOKANE, WASHINGTON [0260 / 150914660675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1. a JOB 20696SS `/D. N . G / R Rrl.11e_. LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK SUBDIVISION 44. fl ade, �a 4.) .� 8 /, seal dPd 370 7 DESIGNER 6' ADDRESS .f9d06 6/I`%E/i7D 9LJad PHONE PARCIL NUMBERS Actual Sot Backs In FM North f SI:. of Parcel Trott Conn. SOotn 2eoina claultlu l onR Occupancy SPNnkier.e ❑y« ONO ❑ Rippe. mlame Area N SO. Ft. Upper Moors OaraNK Mu Un Storms Finished aMmant MM. Neaman Valuation 21P CHANGE OF USE FROM a TO Main Floor Arm of Oecaa t TYPO 0 7. NEW WORK ❑ BLD. ❑ ALT.❑ 'N. 0 L. 0 MO[. ❑ PLMB, ,MMEECH. RP ❑ M.H. 0 POOL ❑ OTHER No. Bathe No. Etorler I No. Roema INT. of bwelllnea IJI Raq'e. Re'est. Slot R.e'e. CERTIFICATE of EXEMPTION 0180910E WORN R VALUATION Munn. 010L 'Location 1Areal fOU11C[ I QAt UTIIITI[: X L[CTRI WATER SEWER OwnaMlo Public O Private ❑ UBB COD[ I hereby certify that I have read and exam,. this application and have lead the ••NOTICF"iincluded reverseon side, end know (hes u be 1 and .0,1101.iibgoverning All provsions of laws and of dinces gov ing 11113 type ofwork will be complied with whether specified herein o not. The wanting of permit does not presume to give authority to violate o t cel the provisions of any other i s ii local law regulaliny construction or the performance of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS DATE OF APPLICATION SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env Hearth }Ir. 57.1,1.11 Co. Engine. 1.1111111. Plrn, En..�in SPECIAL SrONDITIO /O5- "8ra-A6 6.9/71e -6.9/71e -Goa C�t,041 a 0// Fl<R/IIACtg, / // Pk 61Z E- .Ppe, LeAie I /51 FEES COLLECTED Sirgl S Building Plumbing Mach. Plan Cheek SEPA Mobile Hans Other (Spe21171 TOTAL S //4 PERMIT NUM6ER 1 •1(100 •1(100 K +1(1008 •000 8 05-10-80 s 6(179