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1980, 09-12 Permit: 80-8370 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK NSE W SET BACKS FINAL INSPECTION: 7-41 //;I DATE REMARKS: APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 011 JEFFERSON / SPOKANE, WASHINGTON 00000 / 15001 486-3015 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES *0051199 1. S ')t,,./- T�. OCR°IRVE101 O.V. O I jo, Mas DGIYI. CO TACTOR IT ,1 LEGAL DESCRIPTION - SEE ATTACHED PARCELNUMSEA/1. �'� -sysg 9,Q06 Actual Sat Sack. In FM North I a�3"� y9ra' of Parc. SU. 099206 Te. Can*. SoeM .t IW.H Lam Classification Sprinkler. ❑V.1 0No 0Rend. PHONE Valuellon Solidi. Area woomus Zip m sR. Ft. UOP.r Floors Garage Area M.In Floor StoraW 4 CHANGE OF USN FROM TO Area of flacks PInMM. mm.nt Unfm. Wummt •,"r ik ' '0 NSW 0 ALT. A ��yyD'S. 0 PPL 0 MVE. IWi t'WO55 O ILD.. . P WM. 0 MICR. ❑ M.H.0 POOL C I+& D IE RIBB WORV a ".Wry2 NaJ"Fi 4..1.(%✓P eQ.i SEWER 0 OTHER AT SOURCE Q ILITILnes OAS ELECTRIC WATER No. Sella No. SIMIm J I No. Room. INo. of Dwalllem Rm'd. Tadd. F1o1 eq.° CERTIFICATE o/ EXEMPTION I Lnum. 010. Location (Arm) owner/bin Public 0 Pr... 0 USE CODE I IMnby certify that I have read and examined this application and have lead the "NOTICE" provisions included 00 MOM aide. and know the same to be true and correct. All provisions of laws and ordinances governing ing this type of work will be complied with whether specified herein car not. The granting of a permit does notpresume to give authority to violate or Cancel the provisions of any other stale or local law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION SIUNATURE OF APPLICANT PICIAL APPROVALS NAME DATE ann O ,1110.. SPECIAL CONDITIONS: FEES COLLECTED Singl E Building Plumbing Mach. Plan Cheek SEP* Mobile Hon. Other l!p.oIHI TOTAL 9 04• •1300 • 15001* •1300ik A ,•OOO,SI 83698 08-1140' 8 6.479.Y", - die