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1981, 02-13 Permit: 80-7739 Inspect INSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK NSE W FINAL INSPECTION: SET BACKS DATE REMARKS: -1 � NYMEER I II[_ArrLEVEEVN/PERM�I MIT NUMBER �I /� SPOKANE COUNTY—BUILDING CODES DEPARTMENT n 17.0—7739 /(/d.�e1l-/,/��, NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 98360/16081 860-0976 d- e .L APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES YL Jog wooarEss �.,�� �a��/'y LEGAL DESCRIPTION-SEE ATTACHED 4• *9.00 6 1. IAF B CCKtoN Sp.3. ��r"T' LN _ •9.00 K . ;IIPPtit''''' 2 [ ueae[w- .9.0 0 6 l OWNER Il.I�IIJ yea g 6 67/ E •500 8 ADOa�5 'ZIP(f— Actual Net Backs In Feet 77182 F/,\,C..a/_•_^-^l� ono 15eutn �.t Iw.. 07-28-80 4• c f Peroei 3ONE 4.5� M. nooaE� n �J Type conn. adPeaer •Classification a Y 6479. alo d •a.clan w S ao 7 ❑y.. ❑`o"leo .:>,x; 'F8 Damon. PHONE Valuation Building Area In Sq.Ft. 6• ADDRESS ZIP Maln Floor I Upper Floors Area UIn CPIANDE OF USE FROM TO Aree of°ecW I Finished Baeament a 11 fin.Bawm.m TVP.. 0 NEW ❑ALT. / DIN. ❑RPL ❑MVE. No.Barna No.Stories No.Roams No.of Dwellings 7. OF M It: ❑OTHER pRH ❑ELM ❑PL . [CH. ❑M.M. ❑POOL CERTIFICATE Redd. Rec O. rot WO. /� of EXEMPTION I / DeacRIBE WORN /J .ip Enum,Di rt . Loatlon IAreal ) ...)) 9. MCI GAS PunlaI. COLLECTED VALUATION SO pRC[ E TRIC WATER SEWER rrh1P USE CODE UTI I Ownlc❑Alvate a /Blnple 5 I hereby certify that I have read and examined this application and have read the•'NOTICE•'provisions included on reverse gide,and know the same to be true end correct.All provision,of laws and ordinances governing this /41 / type of work will be complied with whether specified herein or Rot.TheBuilding togranting law ee a permit does cti presume the to give authority ve violate.orS cancel the SSIDE or any other state S local law rryulallllg construction or the performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPE'iEL:S Numbing DATE OF APPLICATION 9—"tP SIGNATURE OF APPLICANTdF / i Med.. 1 O SPECIAL APPROVALS SPECIAL CONDITIONS: ` 6U^ NAME DATE FOR CAS APPLI W,`Ii S Plan Cheek 1LN_ Fn..health PIPE SIZES , CEPA an°°° PIPE LENGTHS - re a0, BTUS Mobile Horn. CO.Engin., - other lSpenifvl TOTAL S en. .