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1980, 04-28 Permit: 80-2828 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR NSEW SET BACKS TYPE OF WORK FINAL INSPECTION: fS=.2/-9 DATE REMARKS: C`�3 i�.� 44ru-tea.- ;�e �la JMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON NE, WASHINGTON 99280 / 15091 056,0575 JOB ADDRESS 1. LOC 2. APPLICANT: COMPLETE NUMBERED SPAC —PRFs; IIAt;U 70 MAKE 4 COPIES BLOCK FSDBm314aa 6VitKe `X� 3. owrlElLli�.C1 ) 0Q6l-!ADD s S /22 e1eNorth EGAL DESCRIPTION — SEE ATTACHED RCEL NJMBER/S /.;- Reoulrea Set Backe In Feet ISooln LEast !West COAT OR 2.7 rn 8, &707 DESIGNER 6. ADDRESS Site of Parcel l zone Cleleuiou0n Type Const. Occupancy SPrM ❑ves ❑No kl❑ Rep•e. PHONE Valuation Building Ares In Sp. Ft. ZIP DWL Area Basement Area 0ara9e Aloe CHANGE OF USE PROM 6. (00 Split Entry Spilt Level Rancher PE 0 NEW 0 ALT. 0 AEON. 0 RPL. or 7 wog, 0 BLD. MB. 0 MECH. 0 M.H. DESCRIBE WORN 1 8. VALUATION 9. Source Uttles ❑ MVE. 0 O000R O POOL M1// SO4../Z,L2 E}EOTRIC FlFloors c. RooM Rev. lmt Re Roc ero, Pee,. CERTIFICATE EXEMPTION WATER SEWER II. �nlry �,.� lilt/ Ilml 11,11, Iu94 olid 1,01111IIn11 111„ �G01n.ohull �i. I. IYHp "k 1011 Ile 11Im11 w1111 0. 10,. I � to giveu111� ill 11,11111.1 IIII• I1N 1111,11. 1 11111, .r,il� I, I. r11O11nnu0 ce ul cu111c1cm. SPECIAL APPROVALS 11E0.0. Env. Huhn Popping Fire MMahall Co, Engineer SPECIAL CONDITIONS: FOR GAS: PIPE SIZES: PIPE LENGTHS: BTU'S: FEES COLLECTED Sgin S Building Plumbing Mech. Plan Check SEPA M 131 Ho e Other 'Spec I:1 TOTAL $ DATE pBEF EF _ M •0010 cr 11 ,T-2A—R0 0 79. S