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1980, 05-07 Permit 80-4195 InspectOWNER INSPECTION RECORD CONTRACTOR N S E W LOCATION SET BACKS DATE TYPE OF WORK FINAL INSPECTION: %``t REMARKS: �2 IPLAN'UMIER ----- II JOB.ADORESS NER Ess APPLICATION/PERMIT IL / O,SPOKANE COUNTY — CODES DEPARTMENT / 15W1<663676 NORTH 611 JEF FER60N I SPOKANE, wASHINCTON APPLICANT: COMPLETE NUMBERED SPACES I' f '?U TO MAKE 3 COPILG LEGAL DESCRIPTION — SEE ATTACHED NOE OF USE FROM TYPE 0 NEW 0 ALT. ❑ AO'N. ❑ RPI. 0 NYE. OTHER J. OF ❑ OLD NA.. P. 0 MECH. ❑ M.H. ❑ PO rtlaAyl�ll B. VA. ---AT SOURCE1 '� LOIT ES I hereby certify tthat I Karr a nd e reverse on side, end know tht... o h` type ofwork will be complied rd M1 iii•F,, iii give authority to violate Dr canoe, ilio " net lib lnance of Ernstucton. SEE REVERSE: SIDE FOP HEM"� 1.II iNSPFC DA I Or APPTitIN 4�k-.PO SPECIAL APPROVALI NAME DATE Fur n.altl, H ELECTRIC SPECIAL CONDITION.: MBER/5avOTT44 ,/ W/77. &L 'EXC. 5. i9D s�6/Io/, 8C eEC Nwyroviry al Sol Becks in rout ortosown Size of Parcel sin low, g9efoi Docks Ooo°oa« one cis keno ONOyes Building ANN y. sh meld U^nn. BR_.^t ReoTod.Tod.Roomsof °Welling. No. BET NO'/o N d. got eEW CERTIFICATE EXEMPTION R.cd. Rc° al um. Obt. ° tI°^ gPrxt FEES COLLECTED ATER SEWER Ownership cO Private 7p USE CODE Single S Building _34-L-0— Plumbing Mech. Plan Cheek SEPA Mobile Home Other ISpecifyl TOTAL f .rj p-�-- E�.}R}MIT NUMBER 02. .3Q00 .3000 0^ IJ19 0J? 05-01-80 6479