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1980, 09-12 Permit: 80-7114 Inspect INSPECTION RECORD LOCATION OWNER �Y OF WORK 6ONTRACTOR X02 j;,/ ;, zze' M S E w FINAL INSPECTION: *ET BACKS DATE REMARKS: 942.k aitOottylezd910 11-"vat‘; ' is Fu"NUMBER APPLICATION/PERMIT WON,NUMBER SPOKANE COUNTY—BUILDING CODES DEPARTMENT If ,_ �7_ —� NORTH Ott JEFFERSON/SPOKANE,WASHINGTON 00200/1609)450-3070 r _. �/V APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES )16114 1 IOTF(/� 7AC LEGAL DESCRIPTION—SEE ATTACHED 04• w 9,00 0 I JOB PO BLOI2aDRESS q SUBDIVISION PARCEL NUMBER'S •9.005 2. a 7NERE •000 0 0 ea' 4 Cp-nwie.k Ru -97. 3ITTIOS e+ee ;ils' � 0� Ae ssoKt ee.. 19.--r!-....9--- lw.. f0 7-15— B0 / rNLoYN97�5:.or/Arc. Zonecl.:.lnutoe 64794. Type Conk DEMO.. Sprinkler. Aro q �¢ t z e Rep,. 00R yala.non Area . E' ADDRESS ZIP Main Fieer Upper Pipers ..q we ...TT... 1 • CNANOE OF WE FROM TO Are.of O.cke I FInlebed B.e.m.nl Unlln.Beeman, & I No.Merles No.Room. INo 1 WOR 0 NEW 0 ALT. AWN. 0 RPL. 0 MVE. No.Bathe I .or Dwelling. • 7, o O BLD. 0/LBW 0 MECH. 0 M.H. 0 POOL oTNeR CERTIFICATE imord. Rec'e. Plot R.o'tl. • wDgN n of.Mo.EXEMPTION a D eE WORN f��d� �J���7 � Enum.Mo. Location lAreel FEES COLLECTED VA UATION SOUR E %(OAS ELECTRIC 'WATER SEWER wnersnIP USE CODE 9. uTlllilEE Pubue O Private 0 i Single f I hereby certify that I have reed and examined this application and have lead he"NOTICE"provisions included tk on reverse s de end know the some sob t ld curr.ct.All p nv f vv a rrrd nencae govern ng th-sBuilding Otype of work w ll be complled w th wh th p ified heren of nl Th g t ng n e pn I t dons of presume `Sto give authority to violate Or cancel th pr i1 O Ie of any olha iia l law i.gulat Ilg Construction or the114. performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing `j � . I. OATS OF APPLICATION SIUNA I oil E Ill ADPL'DAN I—...____— Mesh. SPECIAL APPROVALS SPECIAL CONDITIONS: '`")`'A NAME DATE Plan Check Env.Health SEPA DHnnino Fr. eNh. Mobile Home - 'f.', , O. 70 n«r Other(Specify) ,i'fn UtIlltlef I TOTAL f F— --" PIG .......... v WHEN MACHINE VALIDATED IN THIS SPACE, • • • •