1980, 09-03 Permit: 80-8870 Inspect _
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AN NUMBER
R I APPLICATION/PERMIT `°""""°`"
SPOKANE COUNTY—BUILDING CODES DEPARTMENT T - —vg/f)
NORTH 811 JEFFERSON/SPOKANE.WASHINGTON 99260/15091460-3615 DATE /-7‘.' - • g 0 s
APPLICANT' COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES le4
.1600
JOB DRESS L 5
1. /1003 E 3p LEGAL DESCRIPTION—SEE ATTACHED 1 600 5
LOT ELDER SUDDIV151ON PARCEL NUMBER/5
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2JYT•Ao y6 /(O A'AP ersO Tw•e.s.tc •1000if
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3. PRdRTe1 Ay-,4 PHONE A. l a5 neat
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ADDRESS qu •ra
!/003 6 3o" 99200 .1 a.ism°. CMI IWSI 1,0-20-80
CONTRACTOR P Slee of parcel I n•Canalllullon
'.E. • ..P�Plre Poops Sora r89-7665 T.p.Con,I re„p..c. :. 61179
ADDRESS
Pc ea.4,-- 999O" I D Does 05oe10Roo,.
DESIGNER PHONE `aluation eulioine Arm In se.Fl.
D. SBy+TC
ADDRESS RIP {vwL Ar.• eenm.nt Pomo Derry Ar•. stompO
P.
CHANGE OF Dee PROM ITO Sall Entry I Spilt Level I 6,101., I
r TYPE 0 NEW CI ALT, D"OTC ❑RPL, 0 MV[. No,Bales NE,Floor, No.ROOT. RN,Reom j
]. OF 0 DLO. 0 PLO!. 0 MECH. 0 M.N. 0 POOL OTHER CERTIFICATE R•q'a. R.rS. •101 R•q'd,
WORN .
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DESCRIER wORH ./ of EXEMPTION
a IU.,e Ns/w9 PDP N'Io Ler- 07 gD.DGO P<L., I FEES COLLECTED
fI-D TION WATER ,EWER
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Single S
I hereby certify Nat I have Nal end eTsouned this apphLII/o,,I„d ii lull the"N(1'i• ',1r,AH,LLIIIS mulLitimi
on reverse side,end know Nes a to be true and c AO p�NISI,.Is ul of „ _
Id ,,,, .governing thio. e,,,,e,,,,e,,,,,,,,,, u
type of Work will be complied with whether specified he es,,,n the wonting 01., I floes out presume
authority t0 violate o cancel the prnvisious of.,,I WI,, /12I, 111121 1,W ie ,req L,n�ruct,On nr the --_
e tura r Vulat t
perturmagnyce Of construction. ��J _ ,,urn,,,,,,,
DATE JTU1go, /9,eo elt;Nn IU,IE r!//r. - _ Me.h. //v.
SPECIAL APPROVALS EP AL CONDITIONS: ✓
DEPT. AIRED. RECO.
Env.Hasm .4IArX e ✓
CyPp/re O d A S RI.,Chock
(LJh r., et/COPS r — SEPA
N•nnMR y •
co.Eneln.•r s Mobiler.Hoc.
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Fir
4 Mobile� Other'Specify)
Nlllile. I/_0
_TOTAL S F
Zone CONN.