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1981, 05-14 Permit: 81A-4264 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK NSEW SET BACKS FINAL INSPECTION: DATE REMARK% : s Lo -v -t �-' MJW NONOSI1 1 APPUiCATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 111 :t.F6MON / SPOKANE. WASNINOTON 90100 / 16091 454 AM APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKI, 3 cO1'!ES PDS ADD 5t-�n LEGAL DESCRIPTION - SEE ATTACHED t„ I.SI rY 7(G PwN<EE NUNBEENS t OWNS. 4 k3 1 b - An /D/ab C. �GrYY DANTy� YCTOR f 1 at Sx 6aa.... Fax Helm 159167 OENONER ADDRESS 4.44 04 Pam. IWN1 :om <R.PNmtI9n Ty. Cons.. Oetomn1 SN.nktetm gym ON9 o Am. . 04.1u.11044 144n4 Alm M SAFE 111 CHANGE OF 116E FRG TO •T1.NEW 0 ALT. O AGN. 0 PPL. 0 MVS. wFORN ' O SLD. �pl.145. 0 MECO. 0 M.ti 0 POOL 0 O9HE0 DESCAISE WOAK a 14 Fix -max -5 amorOoc ,^.M B.Iyln 04444110n1 4. nlGr Arm SIw.Mlu19x Fox 1 .talon qRtIm.IN..010.1110 11 11 .. 0.IC'0. Se.1 1144 EL ERTIFICATE f EXEMPTION 6771. O111. ILoullon (A1001 "ESCOLLECTEO VALUA116N SORCOE pa. ELECTRIC WATER UTILIITIES . 1 henby eerdlythat I have read and Examined this eppll<auon Mid have lead the '1411 i X1'1." nl ovllinro •11.1. 070 on rn.o.:1Ide, and know the lame to be tMUe and comet. All pioy111110I of 1401 ano eulmapcnfi 901710/1111 110, type of work will W ooreptlo0 warn NI Nmol 111447149 h...al o. noL ON ....... At .......... ..n.. AA. ......... ,.. 10 give e41f110rlly to violate or canal the prallbm of any mho, slate or local law Ie9l1.. tot .'nnatluCI,.... e. '1,^ performance of construction. REVERSE SIDE FOR REQUIRED INSPECT S, (ATE OF APPLICATION ---- 11 O'NAt0t1. O. nv1.11CA11� SEWER Own., 1 009110 u PAN. 0 u6E COD OPECIAL APPROVALS NAME OATS SPECIAL TIDNE rloo t- 1(/ 'AAA) /->,.G< 511. S Budding Ptomain Meet. (1100(111001 5EPA 1AWI11140711 0117., ISp.edyl ^ TOTAL WHEN MACHINE VALIDATt0 IN IN 11111 SPACE, TIM INCOMES APF OMIT J.,/ OD ilg. .61.00 •61.00 te •610011 •goo GJ -01:-81 6a7v.