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1980, 03-17 Permit: 80-2221 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK NSEW SET BACKS FINAL INSPECTION: DATE - REMARKS: 3�J"G APPLICATION/ PERMIT - .11MOICANE COUNTY — BUILDING CODES DEPARTMENT 005094 001 JEFFERSON / SPOKANE, WASHINGTON DENO / GM/ ROAMS APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES MOON ZIP LEGAL DESCRIPTION - SEE ATTACHED PARcEL NUMBER/1 PA:wired Sat Balks M Foot North !South St 13eD . Nro7 DESIGNER s• ADDRESS _ CHANGE OF USE FISOM jTO a "0-40a size of Parcel 2one CiessifIcation 1,Fzei Type const. 0 ccupancy SprInktared OVN OPP, 0 RN,. Valuation 1001190.0,200 Est. Ft. ZIP OWL Area lammiont Arm Earma Area [ Parma Sollt Entry I SEM 1..nI anaah T..20 *A 0 Als.T. 0 AWN. 0 Rik. 0 ova 'Olicte---11111txu- 0 MEM &um layeet DESCRIER PRIME. a 147k4R. No. Eaths 1 No. Floors No. Rooms 1 Rah Room CERTIFICATE F.I'F. of EXEMPTION 1 VALUATION' Sours utLies GAS ELECTRIC 1 WATER SEwEP noreby certify that l have read and examined Om aPplication and have read the "NI / le. E icoyisions Inducted 011 11,1,01 $0111 and know the same to be true and correct. All provisions of ikon, th, type e work will be complied with whether specrtied herein or not The granting to give authority 10 ViOlate or cancel the provisions or any other state or 1c.l I le mammon. 00. DATF SIGNATUR cips401.1118vAL4 DEPT. RESTO. REVD. Env. Herith Planning PIN Marshall nO No CONOMONS: 1/ -rix =272 PEES COLLECTED 5,191 5 Building PI hino 27 50 Mach . Plan Check !EPA MORIN Home 71:r TOTAL 13O -Cc 03• •3050 -43060 •305018 E •0010 2??0, 03-13.80 2 6479.