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1981, 02-10 Permit: 80B-1941 InspectINSPECTION RECORD ow L S CA ION CONTRACTOR NSE W SET BACKS TYPE OF WORK FINAL INSPECTION: DATE REMARKS: c N NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 011 JEFFERSON / SPOKANE, WASHINGTON 89200 / 1609116E -0B26 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED LOT z DER DJ 3 ADDL.". 12 9,AA—re CONTRA, 4• AohE§s /6" \ l•' DESIGNER /6" PHONE .4.70.117 ARCEL N Ars • Actual Set Bac North Iw S. ONE ZIP of Parcel 2one Classification pe Co Occupancy ❑ye D*o kND Rae, PlION Valuation Building Area in Sp. Ft. ADDRESS ain Floor UPper Moo Storage CHANGE OF usE F s. ©,RPT TO a .n n Wed Basement Unf BaMment TVPE 0 NEW 0 ALT. 0 POW. 0 RdL. 0 MVS. 7' OF WOBA g011LD, 0 PLMB. 0 MECH. 0 M.M. I] pool_0 OTHER No No. Rooms CERTIFICATE of EXEMPTION Recd. bt$CR1RE WORK vgLUA ory aougcE 9, u*l &l*B T�9j� 'tZ.cXpp �V TRIC w T8R HETI EA Enum, On,, Location (Aree) USE CODE Pm crrr1 Private 11 .' 1 hereby certify that 11100, rcad find l'annnna i ma .111l1I11nn. ll .r .,n r r.I,l IIIc '1111111 1 , Iwlu<b,d on revoree awe, and kptlw 11xe tome. I,1' tnn', and GBH, /\I I I I !,I II1wn .. , i 11,...11111111 HIE type of wofk will be complied wall wh1n11e1 spnm111,11 Nal ell, u 1 h ,1 1)1 -u 1. .t nlesunlc 10 give dotltofIty t0 vjolale 01 a1 col IHa plO*ISnn.; r, dug ,.111, �I ., 1„14.111. 11110 , �. 1II ,,,.t,o11 111u performance of construction. SEEREVERSE SIDE FORREOUIHED IN'.ECTIDNS oI�[LAl DATE OF APPLICATION f O --/4 -80 SIGNAN1,5111- AIII.ICAN J1,fA ..10-li✓N�__ SPECIAL APPROVALS SPECIAL CONDITIONS, NAME DATE Inv. Reek . }Iemmne Pww moles ns Examiner 16. 1I, r, FEES COLLECTED S' gl Building Plumbing Plan Check SEM Mobile Home Other (Specify) TOTAL $ 1d• •1200 •1200 •12.00 •000 8 1114 (11 0-14-80 4479. HEN MACIIINF VA11Un II U I0 1In. 5101