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1981, 04-01 Permit: 81A-2945 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF W R/ NSE W SET BACKS FINAL INSPECTION: DATE REMARKS: der -e ,1.7 o ffn 2 .4ed� APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 611 JEFFERSON / SPOKANE. WASHINGTON 66260 / I66e1 a6616P6 ,,APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES IS SIOiJ CWNERiffAI. ►E 9, Iry • ADORO6 164.0,10. COHTPACJI'p11 _a • ADDREss /� 3104 l' 1TLI/4 DESIGN R 5. ADDPL93 LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUM0ER/S 5-7477�r.. ZIP Actual Set BSC. In FloHn sus of Par. ZC--7. 1,04 Const. PHONE Valuation ZIP maon Floor EOE:::. 11 IW.11 Zone CIassniutIon ❑v.. Sprinkle. ❑0 kH, . ullalna A. In S0. Ft. StoGN 8. CNANSO Q,I161 P OM 100 n _ ), OV.. 0 NEW 0 ALT.'N 0 AD. C41117.- 17 SIVE. WORK 0 M.D. • 0 FLEW. IWCH. ❑ M.N. 0 POOL 0 OTNER '19. Xi" WD yyr1O �~E RIC WATER SEWER nc'• .761u I�b PC! 0. to V Aron of Docks Pin.. {Morn. No. Baths I No. Swig. l CERTIFICATE of EXEMPTION Un11n. Bawm.nt No. Roam. INo. of 0.111. Amid. Botta. yol R.6•a. Enum. DHL Lecanon IArMI DEE CODE O n P Public 17 Private ❑ I hereby certify that 1 have read and examined this application and have read the "NOTICE" provisions included on reverse aide, and know the same to be true and correct. All provisions of laws and w rlinances govetning this .type 1 work will be complied with whether specified herein or not. The granting of a herrn, does not presume .t4 Dive Sothority IQ violate Or cancel the provisions of any other state or local law regulating construction or the PII'ISIRIWCe of cpNtso y0pn. SEE -REVERSE SIDE FOR REQUIRED INSPECTIO DATE OT APPLICATION � ✓ I SIGNATURE OF APPLICANT SPECIAL APPROVALS • NAME GATE Nielviina ,or SPECIAL CONDITIONS: iP • `80m 'Q-NVA 7A'• a1C 7.7/ F888 COLLECTED S'nal E B uilding Plumbing q�l Meeh. 4 t-` •1�� Plan Check SEPA W WI. home Other (8paoihl�.rf� TOTAL S ID• 04• 61900,. ;! •f900 4 •1800d' A *000 ,B 29444 04f-01-81' s 6479.