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1981, 07-23 Permit: 81A-7247 InspectINSPECTION RECORD OWNER w AT N CONTRACTOR - TYPE O NORK ` N S E W FINAL INSPECTION: l SWUM DATE REMARKS:fi .- �0--8Pei APPLICATION/P ff r SPOKANE COUNTY — BUILDING C S DEPARTMENT NORTH 811 JEFFERSON / SPOKANE. WASH I NG -60N 118260 / 1809) 988-3876 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES Joe ADDRESS LEGAL DESCRIPTION — SEE ATTACHED 1. 1rrAs• 1� PARCEL NUMBERrs 2F OWNER An A's 91TY-9y01Y PHONE O F vrV ADDRESS ZIP — S.t 1- In fwt 3 ls.+rwn t t 9Y7ta CONTRACTOR PHONE ze of Farn ne Cleulflullan Aiflig�zt/i 1f J/a 4. ADDRESS zlv Trw cons. ottuwnq Springm,1 �(// ❑vet ONe ❑ P.o'o. DEStOteER FHONE ValuetlPn 1111,1111 Arae In Se. Ft. E• ADDRESS ZIP .i. Floor -W FleoO Ouep. Area 5terepe CHANOE OF USE FROMTO Ara of Deckt FIn1Rle,1 Betement Untln. BeNment TYPE 0 NEW ❑ AIT. C2AD'N. O RPL ❑ MVE. Ne. Bunt No. Starlet Ne, Rpomt Ne. al Owelllnpt O BLD. O PLM., ❑ MECH. [3M.H. C) POOL OTHER CERTIFICATE Rq . e< P It"Id: W W WORK AEXEMPTION DescRIBE WORK an.-DHl. Loutbn lAuN FEES COLLECTED � V UA 10 SOURCE OAS ELECTRIC ATER SEWER Ownertnlp USe CODE B. url °tiles Public OPrIvaN O single i 1 hereby certify that I have read and examined tris application and have read the 'N117ICEl " included vrsius of lnd ,��d�naimesl governl ng this sis side, and know the same to be Du and ..rtect. All pronaws type ofr -1 will be complied with whether specified herein or not 7'I', granting I,f a nem\it does not presume Bonding to give authOtity to violate or cancel the provisions of any other stale or local law repo laliilG 11i1SlluctDID or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS PlumbilW DATE OF APPLICATION -2 Aa '7X—t _ SIGNATURE Un APPI. ii'. ANT SPECIAL APPROVALS SPECIAL CONDITIONS. I.M. OATS S..^.. feSSP I FY/ �^� W e" PMn L1ipis SEPA .. _ FIRM51 mobile Home Otner ISpacilYl a�.nn vn n, TOTAL $ A_ RMITN B 61,47 Iry 04e •.4.00 +140.0 S> *1006"', A +000.8' 7246;1 07-21 81_;"; 3 Q47r