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1980, 12-16 Permit: M80B-933 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK N S E W FINAL INSPECTION: SET BACKS DATE nuM n nve. P.� APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH ail JEFFERSON / SPOKANE, WASHINGTON eal90 / pEvN -675 APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES _ enoDREss y ^ P e LEGAL DESCRIPTION —SEE ATTACHED 4.1 6. �� U Ne, Balm Nd. lIpIN TVP[ C] NEW El AIT. ❑ A 'N. ❑NPL. ❑ MVS. No. Rooms No. pl Dwelllne T. WORN ❑ OLD. ❑ PLMa. A MECH. ❑ M.N. ❑ POOL OTHER CERTIFIGTE el S%SMFTION w ec q sC RIB[ WD H loom. Dln. LONI on 1 ruI FEES COLLECTED n9-26-80 v U TIO SOURC[ ELECTRIC WATER a[WER OwneNhlp W[CODE z 6479. '-- UTILITIIa Puanc DRIVEN O Q Dlgle S I hanoy oertify that I 1,.,v,..d mid —Mind this application aNd hdve lead the "NOTICC" provislons Included on revere side, and know the same to be true and correct. All provisions of laws ami mtWitincaa governil lg this "typo of Work will be compiled with Whether sVaallled hanin in not. The granting ul a pu.mlt does not prawma Building to give suthorlty to violate or cancel the provisions of any other state al local law �egulvNn Compaction or the performance of construction. SEE REVERSE 81DE FOR REQUIRED INSPECTI Hwnbina v rs /�7 �DATE 925 OF APPLICATION 0 � 619NA7UN1. Of APPLICANT Mean. L SPECIAL APPROVAL@ SPECIAL CONDITIONS. NAME DATE Nen Check SEPIA 7 re ere • salla Homo n9 me, , Other (SpeclfYl It He p0 TOTAL g� �� U •Zp •700r •000 8 n9-26-80 z 6479. �� U