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1981, 12-31 Permit: 81B-3030 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OP WORK NS E W FINAL INSPECTION. SET RACKS DATE REMARKS: 9 n .rrd &? /.0//4/ /5(./5-/ /'/14 I'LAN NuMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 011 JEFFERSON / SPOKANE. WASHINGTON 99260 / 16091 466]626 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS bIP��Bti1616ti�,a'' LEGAL DESCRIPTION - SEE ATTACHED PARCELNuMBERM 0 II ADDRESS IVCONTRACTOR 17.CC• ! ta..V CJHM< ADDRESS �l 1 WIF DESIGNER PNONE QZ4'-Ogg, ZIP leo iLE 0. {U. S•t B In Feel a (h 130,2•7 Nt PHONE Slee ot Parcel Zane ClatsIllemion ZIP So.n9Lr•a DYee ❑No 0 Rw•a. PHONE Valuation ISPIIdI 9 Arm M Sa. FI. ADDRESS ZIP CHANGE OF USE FROM ITo Main Flan. I upper Flims Garage Arm I St .90 Area o1 D•cas I Maimed 0as•m004 I 0nlln. Bawmnt TYPE wOlitt Wcona 41:2J•3VALUATION 0 lo. D ALT. 0A'N. Don.. DovE. D PLMB. E'MECH. 0 M.N. 0 Pool 0 oroc. No. Baths I Pea. StoriesII No. a Rooms a0. et I Elo R•ab, CERTIFICATE al EXEMPTION ST N•� GAS ()ELECTRIC Enum. Oh, Location (Areal WATER SEWER Ownership PubIH ORNat• O USE CODE hereby certify that I have read and examined this application and have read the reverseo side. and know the same to be true and Correct All provisions of laws ype of work will be complied with whether specified herein or not. The grantin is give authority to violate or cancel the provisions of any other state or local law 'NOTICE" provisions included and ordinances governing this of a permit does not presume regulating Construction or the erformance of construction. SEE REVERSE SIDE FOR REOUIREO INSPECTION )ATE OF APPLICATIO SIGNATURE OF APPLICANT �� I / SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE ;et. Nprun xxxikve nr E•am�n« .EPA CnHhhrl FEES COLLECTED 50.01 S BuiMin9 Phowine M•ch. 4I 7.0z, Plan Chock SEPA FEWO• Homo Other ISP•cityl TOTAL S 174') 77t- 4 • %L 4• •17.00 •1700 30298 12-29-81 8 6479 WHEN MACHINE VAEIDAT DIN THIS SPACE, THIS BECOMES A PERMIT.