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1980, 08-06 Pemrit: 80-4283 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR N S E SET ilACKS TYPE OF WORK FINAL INSPECTION: 2-10 Fee/ DATE REMARKS: 8764 ell Ali,J77(4 _ Awl to ,41 Ahvdd. n Red APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE. WASHINGTON 99280 / 15081 46113675 APPLICANT. COMPLETE NUMBERED SPACES - PRI''. • a TO MAKE 3 COPIES JOB ADDRESS t. LOT 2.ow a ADORESi exPrOq m�o.CONTRA ci ' rnn OO.,._ _ (F�� LEGAL DESCRIPTION - SEE ATTACHED 713.4-1 519. PARCEL NUMBER'S 4' ADDRESS C.% ,pruglitireark DESIGNER ADDRESS BNANOE 00 USE 0E011150 TIPqq21L PHONE y cA Actual Set Bee!South s 10 n Feet Lest North 0East 0aup 00/ SIJ. or 00.1 Zone ClessBK8tlen ZIP 44am TyN Court. Sorinkler.e DY.J ONe 0 Req.. PHONE Valuation Building Arm In Sq. Ft. TIP DD.r Fleof. M.0 Floor Garaq. Ar.. Slo.q. TYPE NEW 0 ALT. 0Awn. 0 AOL. 0 MVE. T OE WORN PLA 46 BLD. 0 PL6. ft) MECM. 0 M.M. 0 POOL 0 OTHER A. ea et D.ek. I PInIN.tl moment I Unlln. enamor. 1 No. eon. I No. 11911.. No. Room. No. of DwN11011 CERTIFICATE 58000. of EXEMPTION Rae P. /40t 51'2. OESCRIB WORK a VALUAT ON gOunQ4 6. UTILITIES Enum. Det. Ilea..lAr..f GAS I E LE<TRI WA I SEWER a 025111 OWN... 0 USE COOS 1 hereby lily that I have read aryl a al nrl III Is JIIIIhn- n . 1,.1., I<I IIIA reverseLsole. and knowethe , hn i�,. 111 "All 11 type of work will he complied tw,lh why or cpy,toyl howo, . Ih� tO 310uthority to wolateuancel thy nm001000.• of pp 311100 :dl 3.lw performance of cons nlctionySEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE I, API'LICn T'ON SPECIAL APPROVALS NAME DATE SPECIAL CONDITIONS; FEES COLLECTED Si 91 S Building Plumbing Mech. Plan Check SERA Mobile Homo Other (Specify) Qw TOTAL 5 1_ 04• •9.00 . •9.00 k ♦9008 E •000 S 42822 05-05-80 2 6479.