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1980, 01-18 Permit: 80-268 Inspect INSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK N S E W FINAL INSPECTION: SET BACKS DATE REMARKS: /-04/0 �/y rit6. Te D v T e L„ I SPOKANE COUNTY—BUILDING CODES DEPARTMENT -V I " - 7_1,1 NORTH 011 JEFFERSON/SPOKANE,WASHINGTON 99200 r 1609/400-0070 DATE • APPLICANT: COMPLETE NHMnrRED SPACES—PRESS HARD TO MAKE 4 COPIES 07* �JISJ IT ,0T BLOCK 1 -3L�., 411e, LEGAL DESCRIPTION—SEE ATTACHED 3050 h GT BLGEK s elK46PARCEL NOMBLR,S .30506 OWNER PHONE E •CIO o a 3' 0009 ESS ZIP Required Set In Feet 2 6 7 /� I 'South 1Weet 01—1 5'=90 a. 0090900009 p 0/0454, 0090)Parcel eC ,a 070002700 Zone Ernes lcaHPO _ 6479 ORAlll39/D A rA� - lQ. Z0 9.. 7 Con, ❑V, NTD Re . 5. P n r PHONE ,i alien AO� 6•995 y0�� 2199a/s/ OWL Area Basement Are. Building Aree E101920 CHANGE OF USE FROM TO Spilt Ent, Spilt Level Rancher B. No.Floors VIEW ❑ALT. ❑Aon 0 RPL ❑m o.Bathsrvo.Rooms Rec.Room 0 WORK 0 BLD. SPL B. 0 PARCH: ❑M.H. ❑POOL OTHER CERTIFICATE Rep e. Ree a. Not Rep e. 1 of EXEMPTION 9 DESCRIBE WORK 1/ . X I _re-'S FEES COLLECTED VALUATIONGAS ELECTRIC WATER SEWER 9. t 1.: Snore $ nmeby c that I lead ite ai cU 11 vl _ :oJ 1 NUI II .. Lstrut] on es tfeanti IU k tl Iv. '1y 1 u rl cn ,1.t/I .r nt laws I v4/s Bu'la'ng type e t k II 1 t IbeI 1lo )) authorityworth! r.a,�I the r y, f- V the vV rc , ., hr• E�rJ� pry Piombiny SPECIAL APPROVALS SPECIAL ITIONS: DEPT. q[qo. REC o. Plan Check PNngo,Health SEPA Fire MarshallMobile Home Co.EnSlneer Other/Specify/ • TOTAL $ 36e.9✓ ---a - " �HM CNE V... •i.�I 2, SEPA 71.00ArFI Ib�� � ., ,� I •30.50° • 4