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1981, 07-14 Permit G81A-6847 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK N S E W SET BACKS FINAL INSPECTION: DATE REMARKS: ,1 a ram. ravanoort lr a0e ADDRESS APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 911 JEFFERSON / SPOKANE, WASHINGTON 99260 / 1509)466,3675 LUt BL( APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAI(E 3 COPIES ulV? 01 1� OWNER 3' .�A:. ANDEF .oA) ADDRESS M CONTRAOaFsCs TOR C. C>AS SCt?JI Cm'CO. Dlsl IUSzS onER ET . "-P?-C.3 E' ADDRESS 9. PHONE 26 1S441_ ZIP Zna ENE �tzq ZIP CiLlae,Ce. PHONE .LEGAk DESCRIPTION - SEE ATTACHED PARCEL NUMBERS Actum Sal Backs In Feet Neon Sono. Sim of Parcel Zone CNDIIkA llonsl Type Coml. Occupancy Sprinklers." Ova Ono 0 Rated. Vawtll0n 1Bulldlns Ara M 54. FL CHANO@OF USE FROM ZIP Main Floor ;Amor Flours r Gomm Arm I Stoma Area or backs F1n0.Nad B.amanf drain. Bommanl TYPE O NEW 7, or WORN CI e10. ❑ ALT. ❑/AWN. 0 REL. 0 RIVE. O PUNE. N MECH. 0 M.H. 0 POOL 8. E6CR16l wOgR N vALU • TI•N6 1r 4 9. 50060E (IOAS LSCTRIC WATER UTIISCNE5I 0 OTHER SEWER No. Banc I Na. Stony No. Rooms INo. of Dwain .. CERTIFICATE ( Pored. I Rel�1d. Dot Rey'd. of EXEMPTION Munn. DIN. Location (Arm) Owners/Hp Pe011c OWNtl, O USE CODE I hereby certify Mel I have read and examined this eppli5,etinn and heve read the "NO1 la" i/rvisions included n reverse side, end know the same to be true end correct. All provisions at laws and ordinances govern/5 tlri type of work will be complied with whether specified herein oi rint. The grunting cal a roil .100s not Hreskinie to 010E authority to violate or cancel the provleluno of eny othei ,Irate o1 Neal law ivmolaln•q cmBtrUct1011 Or the performance of construction. SEE REVERSE�rSIDE FOR REQUIRED INSPECTIONS / OATS OF APPLICATION_ - 9 - Q ' SIGNATURE OF APPLot.ANT °Vt. !+ • SPECIAL APPROVALS SPECIAL CONDITIONM NAM! DATE ko:.l4-01 • Minnow Ul FEES COLLECTED SI gla $ Building Plumbing Mach. f1'?. OD PI Ch k GEM Mobile Hama Other ISpecilyl TOTAL $ 12.00 C4• .120 .1200 .1200LI A •000. 8 61;469 07-09-8.1 n: 2 6479. -..•0!J .r: 1