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1981, 09-23 Permit: P81A-9656 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR N S E TYPE OF WORK W FINAL INSPECTION: SET BACKS DATE REMARKS: N NOM.ER 1 APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH Btt JSFFER96f / SPOKANE, wASHINOTON SS260 / MOIR 456.31376 APPLICANT. COMPLETE NUMBERED SPACES - PRE SS Ili,ltl 1 J M.:I ,.. JOB ADDRESS Ca� ,7 —YdT BLOLIC U9O1• Un /7d.• • 2 a a OwOO 4L ei„„e 7 DOR S p b Dx. $D' /LL DESIGNER 5. ADDRESS LEGAL DESCRIPTION — SEE ATTACHED ws,bi Nuc zIP 99�ac� PHONE IIP PARCEL NUMBER'S Actual SH Backs In Feet North Sim of Parcel ISoutn Etane Classlncalllons Type Const. Occupancy Sprinkler. er. Dyes DooO Rep•p. Valuation Build.. Area in Sp. Ft. Main Floor Upper Floors °mace Area StoTHI• CHANGE OF USE FROM TO Ares el Decks FlniMed easement TYP[ 12411IW 0 ALT. 0 AWN. D R 7. OF L PL. RN O SLD. 10.k.LMS. 0 MECH. 0 M.M. 0 MVS. 0 0 OTHER POOL DESCRIBE WORK VALUATION SOURCEouRCE �. UTILITIES I hereby certify Ne, 1 have read PPP a 1 ID implication OAS ELECTRIC WATER No. Be., No. Stories I No. Rooms ro. of 00.111,,., CERTIFICATE of EXEMPTION Emir,. Dist. Location IAresl SEWER Ownership Puellc O Private 0 USE COOL Iii• on verse Side, and know the 50111'to bre 1r.lc Incl correci Aa type of work will be complied witha whethrl s1 e.fied he . i� n 1111, to give authority to violate 01 cancel the prnvlslnns of any Ilthc ,1 iOc.11 i:1 performenee of comouction. SEE REVERSE SIDE FOR RE11111111 U INSPECrION:0 DATE OF APPLICATION SPECIAL APPROVALS NAME DATE SPECIAL CONDITIONS: / .444 R..a. ro,eond. FEES COLLECTED 131 gle Building A r} Plumbing 19 eV-) Mech. Plen Check SEPA Mobil. Hom. Other (Specify) TOTAL $ y780 A 9655s IDA i EO IN THIS SPACE, .0 Q