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1980, 03-12 Permit: 80-2112 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR F WORK N S E W FINAL INSPECTION: SET BACKS OA fE 01MM A Site. 0 APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 611 JEPPIASON / SPOKANE, WASNINOTON 99260 / 16091 466.3615 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 1.it.AtcvI/D LAI LEGAL DESCRIPTION — SEE ATTACHED OWNER // Tien 110 PARCEL 00.9650/3 ADDR .113.10 Pr Fess CONTRACTOR , A Q ./i4 J <.4' . t eCirfv/ TZ -no Tidnncva f4 0,7415a1 SatnFMWN S. of Parcel Zom CNNIflctlon I7 lEaf/ia TYW Cons Occupancy 3PnnkINNI ❑Va 0No 06600. 5. DESIGNER 65I10In9 A. In So. Ft ADDRESS EIP NNrMnr Ar. O.Naa Arao CHAN06 OP USE PROM e. TO Spm Entr Split La anchor T TVP. 0 NEW 0 ALT. 0 AWN. 0 RPL. 0 MVS. 0 OTHER ..m ❑ BLD. 0 R.. B'CEC0. 0 M.N. ❑ FOOL CERTIFICATE D�ELyC,RIL4` of EXEMPTION e ZO et "J .s, CE,FPb oy> Sm ;44 .e / 38� 10 0 LCT IC wATc L f Ly (J�/ X11 e. lllllll� )(woo o. Rooms Roc. Room Roc d. Piot R.R'o. hereby Certify that I here real end examined this application and have read the "NOTICE' iirOviSiOnS included side, end know the Lorne to be true end correct. All provisions of laws and ordinances governing this typfe. 7 work will be complied with whether specified herein or not. The granting of a permit dna.., not presume to Moe authority to vitiate or cancel the provisions of any other state or local law regulalir g construction or the performance Of OIX.OVetion. UA1E Feb. ). /9d0 SIGNATURE _ /44 7�/ ,tJC4'Ll`4/1 DEPT. SPECIAL APPROVALS REG'D. RECD En,, 0•9n • - PNa moms Co. Engin UtIlltias SPECIAL CONDITIONS: / '5,44 /V 30' SEPA TrTs.ta.C/r acne V.9 and Mobilo Home A/o 6./ R,0 5TI/ A 'yo 000 Other lSpeclfvl Jai me TOTAL $ ISO.0 FEES COLLECTED 91007. E on Building PI Medi. O0 Plan Check 3 00 3.00 3.00 DATE P pMIT NUMBER Sao- aloes *1500 •1500 R x15008 F •000 8 21214 03-12-80 4 6079