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1981, 03-25 Permit: 80B-5351 Inspect INSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK NSE W FINAL INSPECTION: SET BACKS �' DATE REMARKS: 41 • / t t 7 3:1_12L----- AN NUMBER APPLICATION/PERMIT PERMIT NDMDER- .. M SPOKANE COUNTY-BUILDING CODES DEPARTM �g -S3S1 iENT '1 - 1 1I NORTH a1E JEFFERSON/SPOKANE,WASHINGTON 992¢0/MOM a AME - APPLICANT: COMPLETE NUMBERED SPACES-PRESS HARD TO MAKE 3 COPIES [I. 7.00 • JOE ADDRESS I1 ,�,� PARCEL DESCRIPTION-SEE ATTACHED * U Cn r�.o85 • LUi e UEDIVI ION MBER/S Z R ry,� O tPPHONE I-'-331-60 0%� E I 41 'a3 6 I Actual SRI Bata.In Feet 6479_ a ADDr._,I y 1,EF GJJI�.(J North Isoutn Lost r0 1^� G1Y,( PHONE SI.or Parcel` II 4. ADDRESSCONTAq� ZIP Type Const.'' Occupancy one Classification nu OYn ❑Ne xiO Rsp'a. DESIGNER PHONE Valuation Bu1lalop Area In S0.Ft. 6' ADDRESS Zip Main Floor upper Floors Garme Area storage CHANGE OF USE FROM TO Pru of Dacha Flnlanu Basement UM In.Basement TVPE VE No.Botha No.Slorlu No.Rooms NO.of OwMIInos E�NEW 0 ALT. ❑0 ADIS O RPL 0 M OTHER '• OF 0 BLD. 0 PUNS. E2 MECH. 0 M.H. 0 POOL CERTIFICATE Rap a. Roc, lot Rue. of EXEMPTION DESFIfISEDRN �a J� En'''. Slit. I Loudon tArul FEES COLLECTED & UII VALUATION SOURCE GAS ELECTRIC WATER SEWER USE CODE 0, UTILITIES Public❑PIIraN 0 Single S • I hereby certify that I hove read and examined this application and have iiiad the"NOT ICI" i,wisions included reverseon side,and know the same to be true and correct.All provision,of laws and o •s gw ning Ilia Building type of work will be complied with whether specified herein o t.Thegrantingof a ii �., does not presume to give authority to violate or cancel the provisions of aria other stale ni local law redid,i.ion.ltuction re the performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS FEmminR • µ �L223al8D_ —ir 7P 00 DATE OF APPLICATION SIGNATURE OF nPP�n'AN1 nth' SPECIAL APPROVALS SPECIAL CONDITIONS: Plen Cneck YRv,Health NAME DATE EEPA Hniall ,��� Mobile Nome • ae C / , s Other ISpN:Ilol --^t Illtaa ♦vv TOTAL S A 'ne MnM