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1980, 11-13 Permit: 80B-3556 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR N S E SET BACKS TYPE OF WORK FINAL INSPECTION: DATE REMARKS: NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH Sit I JEFFERSON / SPOKANE, WASHINGTON 09300 / 1609/ aSE31376 APPLICANT' COMPLE 1 F NUMBEFli OsPACFS FO MAKE 3 COPIES JOB ADDRESS 1' RTzan<kels66646.w LEGAL QESCRIPTION — SEE ATTACHED 3 0211s4,..E. -1*.aciTt 4. PHONE 9:2J? PARCEL NUMBER/5 7- ;-v' ZIP Actual Sat Backs in Fmt North 1500111 Emt 1Wmt PHONE S. 01 Parcel 100110 Classification ZIP Tylw Cons, Occupancy DESIGNER Valuation Building 01.0. in SO. Ft. ZIP Main Floor Wpm Floors1 009• Area CHANGE OF USE FROM a TO Area of DeMs PlnIshed Basement Unlin..30111•11( TV.' 0 NEW 0 ALT. 0 AEON. 0 RPL. 0 MVE. z OP worn, 0 BLO. 0 PLIAB. 14 MECH. 0 M.H. 0 POOL 0 OTHER No. Baths No. Storles No. Rooms No. of Dwellings CERTIFICATE ot EXEMPTION Peurd. 0.0 1,. riot 110010. 8., DES,CRIFIEJIRT;._ ilt . V LIZATIONrsOURCE rilfelELEt'Rrr-WATER 9. — uTiErTIES Enurn. Dist. Location (Aroa) SEWER Owner., 1100I0 0000.100 USE CODE I hem. MTN 0,1 I have luad and eeenunud 1110 appl.cat00,01 0,,111 me -ND I l0000IIOSIOI100IOLIUOJOO on reverse side, and know the same to IP? IlliP 00,1001. All o,o 00,10,11 laws .11,1 goveinino this 10111 ol work will be complied with wholue 1,00 IP, 01 leen. ones not plusunie to give authonty to violate or cancel the WOVISIllIP of .1.1v uth, •,i m, or 1..1 101011)110] ..unstniction ,/, the performance of constructIon.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DP I I, Ar PPP! !CATION _ SPECIAL APPROVALS NAME PATE 1'1•^ ^Ds 17177-1, APTS774 SPECIAL CONDITIONS: FEES COLLECTED 01 6. 6 goading Plumbing Pion Cheek SEPA Mobile Home Other (SPesi,TI TOTAL Si 01 *7.00 *7.00 6 *7.006 0000 8 11-10-80 11 6079.