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1980, 11-03 Permit 80B-0474 InspectAPPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 961a0 / 16OP1 a65.3676 PERMIT NUMBGR Po a- 0`�"7'f APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES lc ADDOR!/ESS�P o,�/�y 1.i1 LEGAL DESCRIPTION -SEE ATTACHED LAC JEOIVIathf 2. I PARCEL NUMBERS y/`3.ai—�,Z,0 Ni .tars y-/o 13LLK3 DP M7/nu/AY AcY g 4o 1,4_ 55 E 928-3173 P JAa- ' 9204' Actual set B9In Pot / North /s Soatheb Eut - Wrest z�- I�v /// L,,an,/ ra C9NTRAC0 `04'44- PHONE Slm al Parr .2!zn. Nir 4. ZIP dil Type Canrt. 0ttoom Oer Ono ❑ Rea'd. R DESIGNER PHONE bonding Ares 15,So. Ft.Vg�(' T6 6' ADDRESS ZIP Main - oor Upper Floors Outgo Arm Stogie • CHANGE OF USE FROM TO e. Area of ooxs I:IlI)h! em nl UnlIn. Bassmenl '.y�,Lfo� FiA.(.�L Tor VPE - 0 NEW 0 ALT. 0 AWN. 0 PIPS-❑ SAVE.i. w5RR BLD. ❑ MM.; ❑ MECH. L@ M.H. ❑ POOL OTHER No. ammo mmo no. storm Ho. Rooms INo. of rellingr CERTIFICATE Rea'o. Reed. 301 Read. of EXEMPTION DESCA C. RH on lANs) Enum. Dial LorUS FEES COLLECTED SI gle $ 2A ATIOry SOURCE OAS ELECTRIC WATER SEWER 0, s ds3 UT CITIES� Ownersnlp USE CODE Public OPrlvele I Itersby certify that I have read and examined this application and have read the "NOTICE" provisions included on arse side, and know the soma to be true and correct. All pluvlsions of laws and nicknames governing this type of work will be complied with whether specified herein .I not. The granting ul n peen not presume authority the SSIDE of any Other D I S ECTlocalI w rpgy nstr motion ur the SEE REVERSEESIDE FOR REQUIRED INSPECTID ) # �= BOII7In0 .6I Plumbing ns ructio .or poglue performance of construction. DATE Of APPLICATION 9—A�% -J Q SIiNAFURE OF APPLICANT Mall. SPECIAL APPROVALS NAME DATE SPECIAL CONDITIONS: /� /4.Q � f ryn /+ �p • -/,// t Plan Check SEPA I'N �JJJE-1.�y Psfnnl Mobile Home el . ISPetllyl . Engineer Other Lillis 06 TOTAL S SO -- 07e 'u50O. ,. o500 G G7.3R 09-18L80 e 6479. INSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK NSE W SET BACKS FINAL INSPECTION: DATE REMARKS: