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1980, 02-22 Permit: 80-1174 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR N S E SET BACKS TYPE OF WORK FINAL INSPECTION: DATE (PLAN HUMBER APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (609) 468.8876 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB ORES.S. Lorgp BLOCK sJ6DlsyiSF+'� rnrrcy Cyt` 2. OWNER t LEGAL DESCRIPTION - SEE ATTACHED PHONE PARCEL NUMBER/5 CONTRACTOR _. — 4. n ? 'J A9io pccgN6Y Par CHAif viiaoI*79? V9,/.// TO ZIP Required Set Becks InLR F«t Nortn o0 Eat) (West PHONE Size of Par - - --- - one Cineillntlon ZAP} a l 1�0G Type Co.. OccUPPSFY. SPrnklered ❑Vee 0No ❑ RegW. PHONE Valuation Building Area In Sp. Ft. ZIP OWL Area Basement Area Starepo Area Storage Split Entry Split Level Rancher 7, To; E ANEW 0�VALT. 0 AD'N. 0 RPL. 0 PAVE. OTHER WORK 0 BUD:" -ARAM. .- 0 MECH1"' O'MH .."'i0`POOL" No. Bathe I No. Floors No. Rooms I Rau Room _.._-. _..... Read. -. - Recd.- P1IN R W'a. CERTIFICATE o/ EXEMPTION DESCRIBE WORK VALUATION IF/Bourcece OAS ELECTRIC B. -.. I utulilos WATER SEWER I hereby certify. that I have read end examined this application and have read the "NOTICE" provisions included reverseon side. and know the Same to be true and correct. All provisions of laws and ordinances governing this type ofwork will be complied with whetherspecified herein or not. The raating of 0 permit does not presume to give authority to violate or cancel the provisions of 'any other state oy(�ya law regulating Anstruction or the performance of Construction. .... -. GA,E_a_ „ go SIGNATURE SPECIAL APPROVALS DEPT. REO'D. RI Env. Nunn N•nning • Fln Maashell Co. Engineer Ullllllea aerie aurae. SPECIAL1CONDITIONS: Single $ Plumbing RO,JG Mech. Plan Check SEPA Mobile Homo Other (Specify) DATE T NUMBER — 11 4 03* *3550 *3050.0 *30508 *000 8 - 1 1 7.3f - --- 02-14-80 6474. TOTAL S 'SV WHFN MAPNINE VALIDATED IN THIS SPACE