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1980, 12-09 Permit: 80B-3768 InspectADDRlifiS INSPECTION RECORD DATE REMARKS — S V( ( cFP 11 ( Cr a APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH ell JEFFERSON t SPOKANE. WASHINGTON 99260 , 16091 456 2675 APPLICANT. COMPLETE NUMBERED SPACES - PRESS HAND TO MAKE 3 COPIES B ADDRESS • LOTOL OC e X 2- S / ZrirkQu(_ 3. ria, e, 4pe1 `f ADDSS e/ 9uS /7d, • ACT 4.. `;,.,..,p..ie•,.r 26,44.L.ADDRESS r .'/cos /7.4 (Z.Ve. DESIGNER 5. ADDRESS LEGAL DESCRIPTION - SEE ATTACHED qac; 92PHONE 2-3/0/ ZIP 5,103 7 P M PARCEL NUBERrs 1?j(34E/-02 tar . ALK ..I4241 AD0(r,a At em Sol Back m F • 1a6Puth a 8.. st North PHONE 9zz-3/u/ 7�i.Lad�Po. P 94u37 Typo Corot. Occultaochr Sarinklaroci 0 V•t 0No ❑ Roo, PHONE Zip PaO= Floor Building/item In SO. FI. � 7D TO E't'M006/.. Does Floors Galva. Arm I flo4 CHANGE OF USE FROM a TO Arm of Docks TYPE 0 NEW 0 ALT. 0 AWN. 0 RPL 0 MVE. '• OTHER won, 0 sue. ❑ ',me. 0 MECH. 0 M.H. /71- m �mmmt /17 P._k, � TIFICATE R.R'd. N�B.P.m� Na Pa , CERR.2a. oR.q'd. CB EXEMPTION %I( Oakmont !W qN ) ▪ gLUgT SOURCE GAS E CTgIC eRO&M/ trrierriss !num. Din. Loo.tlan (Arm) SEWER Own.r,nla Public D NMI. [Q USE CODE I hereby celhty that I have lead and aMntn this application rind nave iead the "N01,i inuns included on reverse side, and know the sate to be hue and cs Ilett. All provisions of laws and oar nn es governing this 1000 of work will by complied With whulhe, specified herein o 001. The mailing 01 .r n.•Inn1111 1101 plaWnle to give authority 10 violate or cancel the ptomains ul any mhul slate nI local law team, ul the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS 000E 01 APPLICALION //-/'i � tiniNAT11Ht ,11 APm.n'ANI SPECIAL APPROVALS^ NAME DATE Ens, Meal. 1:N.nnlne crus0 Mies an, Ekamin.r SPECIAL CONDITIONS: /,/OCNBc oK— 08-2-i.-8/ PEES COLLECTED Si pi $ BolIdine 61,0 Plumbing Mme. Plan Cluck SEPA Mobile Nom. Dt ar Woolly) TOTAL irf± 2• .5600 • 5600 • 56008 •000 2 767,0 11-14-80 2 6479.