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1981, 12-18 Permit: 81B-2435 Inspectp SDS DAZE REMARKS INSPECTION RECORD 1 PLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 611 JEFFERSON / SPOKANE. WASHINGTON .260 / 16091 .6.3676 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1"."ffirst. Charles /5-0? LEGAL DESCRIPTION — SEE ATTACHED LOT 3. 0:1000 Quakkelaar ADORE. S 1121 St rilTr1A, Veradale. WA CONTRACTOR Soft Water Service Co. Yntsh third Avenue BLOLK SUBDIVISION PARCEL NUMBER'S • Actue Sal Backs In Fwt 99017 Can Size of inanCet Ione ClaMIllution 99202 Type COrs$1. .....n. Sprinkler. atas Ono 0 neo.d. DESIGNER 5. P0000. CHANGE OF USE FROM Valuation Builalno Area In Sp. Ft. 2IP main Floor Upom Floors Daw.e Area I Slo,••• TO Area of 0.i.ts FInIshog °moment UnlIn. B•Vernent TV.. 0 NEW 0 ALT. 7. OF 'o0 0 eLo. 0 MECH. 8. 'alter Softner 0 RP, 0.100. 0 OTHER 0.1*. 0 POOL NO. fa.tm I 00. 8100.1 No. Rooms Ina. of owelowas CERTIFICATE of EXEMPTION rot Ft.vo. Enurn.0111. LOcallon (Arm, VALUATION SOUVE UTICITIES CAS ELECTRIC WATER OwneNnlo nueoc 00.0.1.0 1 hereby certify that I have read and examined this application and have read the 'NOTICE" provisions included on reverie side. and know the same to be bye and correct. All provisions of lave and ordinances governing this type of work will be complied with whether specified herein or not. The grantin of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION SIGNATURE OF APPLICANT SPECIAL APPROVALS NAmE DATE Env. Health SPECIAL CONDITIONS: FEES COLLECTED S,EIN Building Plumbing Mech. Plan Check SEPA Mobile Nome Other ISoecily1 5.00 TOTAL $ 5.00 PERMIT NUMBER 9' 15 —2i-35 03• -500 .500 3 •5005 .00C 0 A 25 50 12-04-81 8 6474 1