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1983, 01-14 Permit: 80B-5080 Inspect T INSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OP WORK N S E W FINAL INSPECTION: f—/c'43 LI SET BACKS DATE REMARKS: 1-6443 ( 44 v 0 ..4.4 2(0 e gNNDM ER I SPOKANE COUNTY BUILDING CODES DEPARTMENT �;,OB APPLICATION/PERMIT f A4. i II 1 I�.s�t w • J • NORTH SII JEFFERSON/SPOKANE,WASHINGTON MOO/MSE)4136-3816 • APPLICANT: COMPLETE NUMBERED SPACES--PRESS HARD TO MAKE 3 COPIES JOS ADDRESS 04• •1200 4' t. r � /r-3(4 � LEGAL DESCRIPTION-SEEATTACHED •1200 LOT ILOLK I 1 N PARCEL NUMBERS 2. •12008 .: OWNER ,f Sita'',e<se�- PHONE A •BOO 8 s:'J a ADDRESS / ZIP Actual Sat Race.In Feet5 0 7 9 2 _ seype.., North !South I It IWaZ CORTS OR ,p PHONE flza of Parcal Zoee Clanlllutbn 12`19-BO ,a.U�e. �if✓GE� lL.,Ye.0 JL!—flyd! 4 6479. O':ADDRZIP TTpa conA. Occupant. 1:11, Sprinkle,. kNo a ' 1411m DR /I. �rd/. PHONE Value.. u IOlne Are.In So.Ft. .i_(, 4i 6.CA. Mein Floor Upper Floors S �'�� A • DDnEp ZIP mr.w gree stpr.S. SHARDS OF USA PROM ITS AMM of Deed. Flolthed awm.nt Unit,.Essem.nl E. D n l P No.satin I No.Merle. J No.Reoma of DwHIIn0M NEW D ALT. 0 WOW. 0 R L ❑M 7. F vE. 0 OTHER CERTIFICATE Res, ,,:e.. r.,RegretWORK 0 OLD. O PLAID. AMlCH. 0 M.N. 0 POOL of EXEMPTION DESCRIER WOR l// E,fenen'''DHL Loe+HPn(Anil FEES COLLECTED , ra VALUAT/8{HriII SOUOA RCE Af LlCTRIC W.ATER SEWER armlP USE CODE 9. IUTI IES Public 0 Awe.0 Single E I boreby c.rtlfy th.1 I here reed and examined ned this application and have read the 'NOI ICE"IrrovialOna included • On side,and know the same to be end c .I.All pr uvismns nl laws and iii� es governing this Building type of work will be complied with whether specified harem,� Iol.The granting of.i i,nil ilOes not presume to Else/Rahw y to violate or cancel the provisions of any other not Or local law reapi li inl aonstruchon Or the performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing _- /.S �/ � r Mach. -4\Z.Oa DATE OF APPLICATION/�'`/`'�e, SI I;NA I LIGE-.11 APPLICANI/rl. ,Atcal f_erL1 SPECIAL APPROVALS SPECIAL CONDITIONS: r ee NAME DATE �./ward 49�/• Non Cluck • '[�/ LCL SEPA . anon' YtP rnaaISL1 Mobil.HolmT illi ecru rr 0.Enar ` Other(BPecifv) )„,,,„, /rZ� I I . _t ____"_ __ __ _.__— TOTAL S _.._..__ __I Er