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1981, 02-05 Permit: 80B-4920 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR N S E SE BACKS TYPE OF WORK FINAL INSPECTION: 0-'2,2 F.-„,„/ (i DATE -6/ REMARKS: rd.Q PL etgt: d /n4 Ike/ Axa e 9'.31001 .41141. AiS one..., 4ealf -4 57I G 13:34 Ce.4 el- RA- 49,/ o1a c (911-n 3A) !��— nig gqj HUMEER 4 APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 09250 / (5091 450.3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 7SUED MCI R:27,7073eti LEGAL DESCRIPTION - SEE ATTACHED iia -,z` qs PARCEL NUMBERS ADDR TR IAODR[88. L1 PHorvf 535- 91 76 S 21P E ADORW25 30.33 iiEr. ZIP a 7. CNJINOE OP USE PROM TO North Actual SW Backe In Feet (South Ira of Parcel ane CNulflea long Type const. O«ueancy Sin Ovea Oeno 0 0 Ree•e. Valuation Building Area In So Ft. Main Floor Upper morn Oerala Arg Stora. Area of Deeks Finished lament Unfln. Emmen! TVR 0frNSW D ALT. 0 *DIN. 0 RPL 0 MVE. oP ��Arrr... 1.p /[3 PLI,N. 0 MECH. ❑ M.H. ❑ POOL D 'pECRIE[ WORK I 6,i irt• J . VALUATION- SOURC[ 0AE CIA TT'IJ,II(ICCr 1 WATER UTILITIES 0 OTHER No. Baths I No. Storlos I No. Rooms INo. of 00.017.. IJIg R'a. Relict ryol Rears. CERTIFICATE of EXEMPTION [num. Drat. Location (Arg) SEWER Oweirmlo Public 0 PrNete 0 USE CODE I inner Certify de, tndt I have read and to be examined this application lInd have reed the and rdre races governing nthis on ravens rids, and know the same to et bus end correct. All opt The ra laws and perm, do s nOpr the type of work will bo complied with whether specified f harem Hi opt Tho granting law 6,l x atcsi c duns not presume to five authority to r clam or slicer the SE SIDE Ion: of any other state ul local law regul�ltll6,l construction lir the performance of construction. SEE REVERSE SIFOR REQUIRED INSPECTIONS DATE OF APPLICATION /G/BD SIGNA (URE APPLICANT SPECIAL APPROVALS NAME DATE Ins, Health. . .. 9Dn7Ma ,o. Engineer SPECIAL CONDITIONS: Z— SzX3z y/fds FEES COLLECTED 816,91 f Building ��jj�� Plumbing -mKL Mesh. Pon Cheek SEPA Mobile Home Other (Spg'fy) TOTAL 03* •4800 •4800.' •480015 •000 491.98 12-16-80 6471,._ WHEN MACHINE VALIDATED IN THIS SPACE. 1