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1979, 12-04 Permit App: 79-7746 Inspect INSPECTION RECORD OWNER ,LOcATION CONTRACTOR TYPE OF WOjt„ N S E W FINAL INSPECTION: / SET BACKS • DATE REMARKS: - it N MEIER -- - I t "APPLICATION/PERMITFERMI SPOKANE COUNTY—BUILDING CODES DEPARTMENT M NORTH 811JVFEROON/SPOKANE.WASHINGTON OOf.d/IOAM 71021,716. IadOT. DATE__—�� ,,PPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES 04. 4• •7 0 0 i of ec o 16.04LEGAL DESCRIPTION—SEE ATTACHED •7.00 0 k SYODIVIADN PARCEL NUMEER/S 77452 Y. (��e fLII ryoE� �1y5G1 1, 7�y�BQi 2 647979 �' wooFlcsrr 7 .V.- ISO-Im 6 .mired Set E.'r:'--m FAH F 6479 Leede coT, DNE �Irtor P.rnl n.crwr E' ADOREss 1`I ZIP • Trn COIL Ocwwna rebind Vas[!�/�err.aF Pt. DtlIONER Weed VOmtlen Ii ME NrM Irl a0.FL 1 AODREY ZIP DWL Ane I..cement Are. Sanaa Arm I eimm• CHANGE OF USE PROM ITO Split Entry I 4m I !MEW a ' TTP[ O NEW 0 ALT. 0 Aye. 0 REL. 0 MV[. Ne.lithe 1 Na PlopsI Pie. I Rea Resm T WARN 0 OLD. 0 FLM.. MECH: O N.H. 0 POOL 0 • OP OTHER CERTIPICATE J Reed. 1 Re.e. Swt Rep.. of EXEIMTION DElC111{{{1 RN a FEES COLLECTED j VAl TION Eeyyurn DAO ELECTRIC WATER t .EWER A'a UIIIIMr I hereby certify thn I have reed end.Kemined this application end have read the"NOTICE"provision.Included on verse side,and know the same to be true and correct.All provisions of end ordinances governing this to type of work will be complied with whether specified herein or not.The••ntin.of a permit done not pr' Ion IisMM l to give authority to violate or cancel the provision.of any other.tate or •el law regulating construct. the performance off rilN icon.. i wnbin. DATE—I/, /1SIGNATURE a_r/ i_ ,. 4h• 7, 054, f SPECIAL APPROVALS SPECIAL OORDITION* C REO'D. RECD, Phan Cheek • Env.Hmitn .nnlne .EPA Fire II MOIR Nemo • Ce.[minima Other Itpnifyl uuooer TOTAL t Ione Cle.rcnce / t WHEN RINE VALIDATED IN THIS SPAC --°T. sEPA creat I1 �.- acct //�� THIS C- `/A/ MIT 7 4.6'. 4 7.0 0 D 1 DATE FICIAL a 4