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1981, 03-07 Permit: 79-8445 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR NSEW SET BACKS TYPE OF -WORK FINAL INSPECTION: _3"a-4-3 1.Z DATE 3 7<`f 3-a -63 REMARKS: 7. T eW? C €1a.re To p" pes fit tiease- e 414. olL7 rieh APPILIcATION/PEKIMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 1211 JEFFERSON / SPOKANE. WASHINGTON 99260 / (5091 45153616 f_ ' • APPLICANT : COMPLETE NUMBER A.5_019/111ESS D seoLKIrldiair.A 01199R 3, ui h x4,A, A2„ 4 1.65/TRAL.TOR • 74;11ESSt.L.„, ED SPACES — PRESS HARD TO MAKE 4 COPIES LEGAL DESCRIPTION - SEE ATTACHED pARCEL NUMBER/S PHONE ZIP 4N; Required Set Backs in Feet Norm South st Lost Size of Parcel Zone Ciasslf Ration ZIP Tyne Cons, OccfroaneY Sprinkler. Oyes Orvo 0 R.,. 126StaNER 5' ADDRESS Valuallon etultollets Aires io So. Ft. Basement Area Owaile Am. Storage CHANGE OF USE FROM E. TO SIMI Entry Spilt Level 0 NEW 0 ALT. 0 AWN. 0 RPL. 0 (AVE. 7. OF EL. 0 ALM.. 1311 MEOW: 0 M.N. 0 POOL 0 OTHER No. Baths qESCRialt weiftit &Udprafi'Lri-4-.'-/ -L"'"te;g4(C-TALTER se ,ce 1 9. - No. Floors No. Rooms I. Reg. Roden el Roc . I.., RepE. CERTIFICATE R79. of EXEMPTION •. I hereby certify thet I have read end examined thisathelwation wid hove read the "NO1 h_ I L..ons weluded on reverse side, end know the Same to be tow and codect. All is toilkionS 01 laws ted dovederw Pip* Of work will be complied with whether SpeCitiell herein re odt. Th wantme .1 wwillt Wets n t pwsserw to give authority to violate or cancel the provisions of any 0001i 'Trite 0 al law repilatetl constru t n or the yeti Ornlanee of conetnattiab 11 DATE SIGNATURE SPECIAL APPROVALS DEPT. RED•D. REVD. t_. 0409(50 Wannest , 1)11110es Zane Carr- r• SPECIAL CONDITIONS: FEES COLLECTED Shoe seeding Plumbing Mach. Plan Check SEPA Mobilo Horne Other (Specify) TOTA let n o; rv_pr.87,, , DATE 0 ir.7.1Ssfc' 0,00 Er•,, .7O0& e E .G00 8 84048 11-28-79 0 4479. I -5 WHEN MACHINE VAL IDA T L dy rrvisSPALf 4