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1980, 07-16 Permit: 80-6970 Inspect T . .x NUMBERAPPLICATIBN/PERMIT `" p PERMIT DUMMER SPOKANE COUNTY—BUILDING CODES DEPARTMENT 6.97o �•I ' NORTH et JEFFERSON/SPOKANE,WASHINGTON eage0/MOW/60.36]6 e T +' DATE OB ADDRESS APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES 1.YV.P.O . ° i LEGAL DESCRIPTION—SEE ATTACHED '2800 fri a 2. •28008 ///BNy � /JUG//H irgNr!'-.."... F •000 8 a ADDRESS / L �� RP Bat:FM 60,0 G .E6/.sz.� a gym_ a o 6 Na'^r.n s.t C NTRACTO9 l PHONE Size 9r ParcelEgosEgos Classification" u7-11-80 4. G,4.B7R- -i^M� 2 6479. lir "ie� AY, ‘7Ela.o� Type�9n.t. D 99.n<y ❑y., ONoyN0Re9'a. DESIGNER NOG'.4c�V.w,U9n Bvu6MS Aro 1n SG.Ft. 6. ADDRESS Zip OWL Aro 'Basement Area Garage Aro CHANGE OF USE PROM ITO Spilt Entry I Split will I Rancher e. TYPE 0 ALT. 0 AO'N. 0 RPL. 0 MVE. No.Baine No.Floors Na,Room. Rec.Room ], OF KNEW 0 OTHER o w0 cola❑OLD. �PLMB. 0 MESH; 0 M.N. 0 POOL CERTIPICATE Reg'a, Recd. rot Rosea. 9f EXEMPTION DESRK & W/b /4./t'f,cgrs FEES COLLECTED VALUATION I Source OAS ELECTRIC WATER SEWER 0. I ml.. Single 3 I hereby Certify that I have read and examined this applicah u,.and ha,;.end the"NOI A.'. ,lulled on reverse side,and know the same to he true and comet, n i orIi iii of laws and „ es loveiom1 dns Buade9 type of work will be complied with whether specified heleni ,, gianUnll a does n d Inesume to give authority tato late or cancel the provisions of any other n,Inc law roolnat,r1 construction or the DATE performance ✓ /�� _ plumbinS rOC DATE rE[ T Si 5i[iNn TORE _ ( Meth, SPECIAL APPROVALS SPECIAL CONDI S. DEPT. REG'D. RECO. Plan Chock Env.Hamm Ptaanlnere SEPA P IM M/Nnal Mobilo Home Co lowbrow Other lSeeaHyl `. ______l TOTAL $ e).Ov INSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK N S E W FINAL INSPECTION: SET BACKS DATE REMARKS: / eZ<ZQ__. _ /7