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1980, 09-02 Permit: 80-8901 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR NSE W SET BACKS TYPE OF WORK FINAL INSPECTION: /0.7-k) DATE REMARKS: ak2A, OK VV,AnAe ?y7-(1-0 /0-740 e eL---1c; 14.000 I APPLICATION/PERMIT ia//c-,9 SPOKANE COUNTY — BUILDING CODES DEPARTFAENT /0/ E NORTH St I JEFFERSON / SPOKANE, WASHINGTON PPM / 11:10e) 466-3576 APPLICANT: COMPLETE NUMBERED SPACES PRESS HARD TO MAKE 3 COPIES JO D RESS clovI,Otipe LEGAL DESCRIPTION — SEE ATTACHED a 756/;;AICY STKAL.16 174 -1 150/*CO 4. cciwrobocveLA„cEJ A7766.10 11 .1/4 PHONE •;•99 9.2-0 G poiRCEL NUMBER/5 17541 6710 Actual Set Backs In Feet North !South St 'West RC) 101 511 0 ,f3 of Par.: ZIP Ty. Const. °comma, Sp. Wed Oves Doo 0 Pecea. DESIGNER v1r5os, -"°'" ADDREIM ZIP Main Floor UPP2.t. Flows Geg.77 SION. cf4ANaa or usa rigors TO Area of Dec s PIM.. Basement Unfln. Basement rP 0,NlY/ n ALT. d'AEPN. RPL. 0 MVE. wooor -o. 0 PLIAS. 0 MECH. M.H. 0 POOL A'CIECRIeltWosp 0ActisInTr.-r- 0s1 6'5 A S URCE GAS -1 ELECTRIC WATER 9. UTI 0 OTHER No. Baths No. Stories I No. Rooms ro. el Dwellings Rotecl. 004. INot,HAI. CERTIFICATE of EXEMPTION Enurn. Location (AM) SEWER own•rsnio Public Private Er USE CODE I hereby certify 1i1,11 I have read and examined this app....non tiu• 1111,1)Turovlsions Included on reverse Ade, end know the same to belie n»)1 Lurn., ,). nf Ido,- utdmances govertung thu type of work will be Complied with whether speCiiied ), uul 1u• )0.cuinci ovIont does not presume 10 glee authority to violate or CmIcul the provisions of aro, other slaty , local 1.,w,lettnl,t)•ny construction or the performance of construction. SEE REVERSE SIDE FOR REOUIREO INSPECTION( DATE OF APPLICATION 071-11, SiLiNA1 UTI Appi icAN SPECIAL APPROVALS SPECIAL CONDITIONS: - - /XV NAME DATE co. Arrit.,4i122 PAL ; -OM 11-101rs.,0 14-90 6 ri 114 Vrie,i.oAt,6, rip7 4/14/m) FEES COLLECTED 00 $ Budding •9". Plumbing Mech. Pie Ch k SEPA Mobile Horne OMR: ISpooily: TOTAL t5 1,- 02° 2500 4,n0.05 F *DO .1$ 85808 08 -14? -80 8 647V.