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1981, 04-08 Permit P81A-2672 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK N S E W FINAL INSPECTION: SET BACKS DATE PLAN NUMBER JOB ADD RESS zed IUN APPLICATION/PERMIT SPOKANE COUNTY — 9UILquNO CODES DEPARTMENT NORTH aat JEFFERSON / SPOKANE, WABHINOTON NSb60. o / 16001 aS0T6 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 1 � PERMITstNUMBER' oil �i�,Z LEGAL DESCRIPTION - SEE ATTACHED a NE R DRESS F. 9.zzo e-ata€dv Apti_4„,, GO RACFOR • r g. ADD T ,JV/F.V���/.fy.LLfJilf✓— .ts 3..SI l u i# yrt. DESIGNER 6. e. PHONE 9z¢ -le L . P 49r:0H PHONE EIP 9910-� PHONE PARCEL NUMBERS Aclual Sal C. In Fon lain slap PI Parcvl "' Sono ClEulllooliner Typo Col. nuatlon OttuPNICY Dv.E Ono • 0 Mora. Building Arms In SO. FI. CHANGE OF DEE FROM SIP Main F100/ UPPN Floors EGER Aru along• TO M. 0.3lw 0 ALT. D AWN. 0 RPL. 0 ...Va. WORN 0 [L0. PLM[. 0 RECH. 0 MM. 0 POOL D OTMER l No. Ba1Rs I No. SONG. No. Room. INo. of boom,. CERTIFICATE • of EXEMPTION E. WOR. t Enum. Dia. ILanllan (Ar9I R. f'(flr'CZ /Y N SO RCET OAS ELECTRIC UFIL1410 WATlR SEWER OwnNralp Mr COD! Public 0 0 1 hereby certify that I have road and examined this application and have lead the "NOTICE" otowsions Included OR reverie side, end know the'eeme to be true end correct All provisions of laws and uldlnances governing this type of work will b. complied with whether specified herein or not. The granting of a pem1i1 does not presume • to. authority to violets of cancel the provisions of any other state or local law regulating construction or the IRlsisoe Of construction: SEE REVERSE SIDE FOR REQUIRED INSPECTIONS .OATS OF.APPLICATION .4-'2.3-5"/ SIGNATURE OF APPLICAN1 REq•d. t VSCIAL APPROVALS NAM[ OATS • MEN0.11 al ow RSCIAL CONDITIOIIII FEES COLLECTED SIINI ! seeding Plumbing .�AP.' Mach. Plan Cheek !EPA Mobile Hong other ISnnilvl DA TOTAL t 'T C3• *50i e50" I. In. *SOD. I A •noo 8 267.1a 03-23-6(1 P 6479: ' W J.