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1980, 10-17 Permit: 80B-2004 Inspect T __ INSP'ECTION RECORD LOCATION tibtitmAcTon TYPE OF WORK • N R E W FINAL INSPECTION: Si?BACKS . DATE i KEW K• - /(1?2 ' 0-1‘ ' 44 -)`" 1 114.42_ di f V 'fir` x $f is 41'::':* ` " r • PLAN'! MIKR _ _ __ APPLICATION/PEF. I�' `1 {J P[RMIr. T...' SPOKANE COUNTY—BUILDING CODES DEPARTMENT 'I %O —z0� NORTH ID.JEFFERSON ..DEAF WusHINDTOry 99360/IISTI•40-3476 APPLICANT: COMPLETE NUIVIBEREU SPACES PRESS HARD TE'MAKE 3 COPIES aoe ADDRESS __gg LEGAL DESCRIPTION—SEE ATTACHED 0!I+ +70 I '' D(�6�eg 9� 5 Ponce,NDMeER,9 :70:, E � yy to-Is—e6 3, .pl -71 i..0 / 92$ 7e�/ ACt. P«t ADDRESS �/ ���/71�� ZIP a sal Backs n . 6679. f`•/etb08 /44c/.,a,,,,./ /Jo.,14Aai, �o o37 sl,e o,Pa,. isooIn Eton.CI.NIa Ilun.I OpI TOR A ADW94 ESS rvP ce..r. ou.P.w sok er.A .41 .; ❑v.> ❑ . ❑N.a'e DESIGNER PHONE va uaI on Bu Id n9 Area n SV.Ft. 6' ADORES ZIP Mem F oor UPvrt Flaon •rags Am Rvrave CHANGE op DEE PROM ITO Ar«vl O.ck> P nHn«ea+.meat Unl e.e+um+m No.0ath> No.Morin No.Rooms No.of Owelll«> Tyre ❑NEW ❑ALT. 0 AWN. 0 EPA. ❑WE. • 7. WoRR 0 DLO. ❑PLIAS. {t1 MECH. 0 M.H. CJ POOL 0 OTHER CERTI NCATE Flar'd. RaeT0 Plet Rena PI E%EMPTION .��r� Enum.DI.I, LPullon IAr«I FEES COLLECTED A LUA ION SOUR CE A! ELECTRIC WATER SEWER pwnerlM1lP USE CODE O. UTILOITIE9 Public❑Prlvele❑ Slnole S k)11"' 1 hereby cel Ohl that I have Idad and ex/emoted Rnd tl a n1'III t,i 11 tn,w d avo rud IP 'NII f I IOVISlons cluded Sltla, toeo of work will kncomplied withwhether 1 11 /�I V t 1 rionvoettnernen uthreo to E authority tO vIols[[Ort4 S o OI any I 1' w y w Islrup[on o the .grformEnre of nwnstruCtlon.SEE REVERSE SIDE FOR HEOUIflED INSPECTIONS NBuwlindblnmp s � , ;, o `DATE OP APPLICATION/Q./ LVA _SI0NATD ill AI".ICANTylr_C� CJ/3 -e MCh. 1- I SPECIAL APPROVALS SPECIAL CONDITIONS: _ Plan CAack NAME DATE Env.N«Itn SEPA Df renin Mobile Home Ohall + e !colo«. Other IEP«ifvl MIN. t7 TOTAL S 9� E ..