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1980, 09-04 Permit: 80-9521 InspectOWNER INSPECTION RECORD LOCATION CONTRACTOR N S E TYPE OF WORK W FINAL INSPECTION: SET BACKS DATE REMARKS: q"--14FJ Lel ONOINI N NUMfi[R APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 911 JEFFERSON / SPOKANE. WASHINGTON 99260 / 16081 4663676 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES J0 ADDRESS LOT/1 A 16isifslo'F�-Ei�., 2 LEGAL DESCRIPTION - SEE ATTACHED PHONE PARCELNUM0ER/S 0: TRACI oR• Yll.�/VLlf ZIP H9 .oG Actual Sot illeces in 6.1Norte !Sown :v04 w 1 Lott AOffESS DESIGFaER 5. ADORES& ZIP TYPO Const. PHONE kl 0:26.na Sprin ww ONo 0R.MBUIgrnOArea In 5a. Ft. US. of Parcel Zone Classification Valuation ZIP Main Floor I UMW 0100“ Garage Arse Storage CHANGE OF USE FROM A. TO Area of Decks FInIMan easement UM in. Basornont TYPE 7. OF WORK ❑ NEW 0 ALT. 0 AO'N. O RPL 0 MVE. O SLO. o FLM.. //kMEC0. ❑ M.H. 0 POOL 0 OTHER VA AT SOURCE .'V) I [L[CTRIC kWRT[R S!W!R 9. uTILITIEa No. oat. I No. stale. I NO. Room,of Dwelling. J aw'a. Ra<'e. r., Raced. CERTIFICATE of EXEMPTION Enum. OM. Location (Araal Own.NnlP P1.10110 D6712.1• 0 USE 0000 I hereby Certify that 1 have read and examined Ihu appllcabun and nave ,, a,l the "NOT II'E" !envisions Included on reverse side, end know the same to be true and correct. All p102110n. of laws and u.... , governing this type of work will be complied with whether specified herein or rMonnem,. I he wanting of a pes nm ut presue 10 give authority' to violate or cancel the provisions of dnV Othel stubs ,,, Dual law rulaileli,'i ..rrpy truchon of the perf0rmarKM Of comtruction. SEE REVERSE SIDE FOR REQUIRED INSPE ONS a l� DATE OF APPLICATION J �� - siUNAIURE in. Ai 1'Ln;ANI SPECIAL APPROVALS NAME DATE env. HNI 19991991 Ira MN.a.R C Engin.., SPECIAL CONDITIONS: jvf.vl .A.-(:GC<t-y0 4.0.-544f. &ad '+- FEES COLLECTED S 91 $ Building Plumbing Plan Check SEPA Mobile Nom. Other ISPecifyl TOTAL $ J M NUMBERPERMIT 04. 05202 2700 •700 09-02-80 6479. •