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1981, 01-14 Permit M81A-0430 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR NSE W SET BACKS TYPE PPOF WORK FINAL INSPECTION: I S/. Ftiai' a,Lt i DATE REMARKS: e4i -StigT) (v_irlset- Aaw.;{/ cl-frWed 0e9-r-P5 grr jrAra NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99060 / (6061 468G675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES Joe AoeoRE�ss LEGAL DESCRIPTION — SEE ATTACHED Z SUB N PgRCELjtTIM6ER/S 7• OWNER 3. 71 AAA PHONE Q710--1C72$ ADDRESS 6 E.ZIP I2(4z.4 mi scOn) 4Q7-1(e Actual Set Becks in Fast Norse (Soule East IWerl CONTRACTOR 4. AT11C PHONE Sim al Parcel Eons cnsslnullon ADDRESS '5AMe hip Type Corot. OccupM0Y Sprinkler. DTss 0oo 0 Rep, DESIGNER S' PHONE Valusllon Eullalne Arm In S0. FL ADDRESS ZIP Main Floor UMW Floors I Gstam Arm StorM CHANGE OP USE FROM ITO a. Area of Docks I PInIMae Easement I Unfits. Easement J TYPE El NEW ❑ ALT. ❑ AWN. 0 RPL ❑ RIVE. 7, or .J 0 OTHER No. Bates I No. Stories o. Rooms �No. or Owelllner won...O BLD. 0 P.A. f0 e... 0 M.H. 0 POOL CERTIFICATE MEN. I Recd. Siol Rep'a. or EXEMPTION DESCRIBE WORN & I(b[A pis QAy/A/C, 14F "urn.."' Coulson IAIm) FEES COLLECTED VALUATION FOUR. jl GAS E. UTILIFIES TER sccat ELECTRIC WATER SEWER OwnorMlP USE CODE Public OPrivata ❑ I haleby certify that I have read and examined this euphonium and haw. road the "NOTICE" provisions included on nvmse side, and know the same to be true and corlacl, All plowsions of lama ales GRIMM,. govarnhip this type of work will be complied with Single E Building whether specified herein or not, The granting of a pamnt does not presume In give suthorlly to violate of cancel the provisions of any other elate or local law rebuking construction or the perfolmenee of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing �J DATE OF APPLICATION I�I9 OI 51f'Nn rUXE OF APPLICANT 4ot. t'Y`P ^ M.cAI. #i�y �..0 SPECIAL APPROVALS NAME GATE # SPECIAL CONDITIONS: r1_ Plan Cheek En.. Hmlin SEPA .,,,. r. m.r.n.11 Mobile Home o. Enalnnr Other (SpecityMost TOTAL S I •0