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1981, 01-09 Permit: 81A-228 InspectINSPECTION RECORD OWNER tliKATION CONTRACTOR TYPE OP WORK NS E W SET BACKS FINAL INSPECTION: DATE REMARKS: IPLANNUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 911 JEFFERSON / SPOKANE, WASHINGTON 99260 / 1609) 456.3676 APPLICANT: COMPLETE NUMBERED SPACES – PRESS HARD TO MAKE 3 COPIES JOS ADDRESS 1? LOC" �'LOLR 2. OWNER 3. ,6M ADDRESS lE • ilSLl CONTRACTOR Am 4 ,.AADDRESS DESIGNER ADDRESS Ct2c.4 4: LEGAL DESCRIPTION - SEE ATTACHED Fs AIGN PHONE gt43 v PARCEL NUMBER/S ZIP 5cAr441E4.4.p C1R.CI-C PHONE ZIP PHONE ZIP Actual Set Backs In Feet North South I aft Iwart Slee of Parcel Eom CHMlllmtlon Type Conn. OauPancy Sprinkler. Dew 0No 0 Reed. Valuation Building Arae In Sp. Ft. Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM f► TO Area of Decks Finished Bafinent Untln. Basement TVP[ WARP, 0 ALT. 7. OF WORK 0 BLD. 0 PLME. D ES C R I BEWORK a Wa.py 1II &tIC 9. UTILITIES 600E ELECT RIC 0 AD'N. 0 RPL. 0 MVE. Erma.. 0 M.X. 0 POOL 0 OTHER No. Baths 1 No. StarletNa. Rooms r . of Dwellings Plot IVAN. CERTIFICATE Rep'd. of EXEMPTION Enum. Dist. Location (Area) WATER SEWER Ownermlo Public Private 0 USE CODE I hereby certify that I have reed end examined this application and have read the "NOTICE" provisions included on verse side, and know the same to be true and correct. All pro of lawsand of din es governing this type of work will be complied with whether specified herein o not.The provisions o/ d 70',IIt does not presume to give authority to violate or cancel the provisions of any other state or local law reguldIIHI construction or the performance of construction. SEEqREVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION // UO U SIGNATURE OF APPLICANT SPECIAL APPROVAL! SPECIAL CONDITIONS: NAME DATE 677/06 c FEES COLLECTED S'ngl E Building Plumbing Meeh. •tea Plan Check SEPA Mobile Home Other ISp9Hy) TOTAL 4i2 _'F M PERMIT NUMBER 6)A -2Z.6 04• +17.00, .1700 a GZ7z 01-08-81 6479 V