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1980, 09-15 Permit 80-9779 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK NSE W SET BACKS FINAL INSPECTION: DATE /D _ / t. -8) /-do-r1 • REMARKS: (9-/2- a c 2 "UM ER p APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH all JEFFERSON / SPOKANE. WASHINGTON 99960 / (609) a06-Seas APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE :t COPIES JOB POORE55,_L/ N USANCEe' 44NC Lot eLDLV imIIJIUAIUn OWNER 84RRV 7. PUG,,, ADDRESS ' Po. .Bar //737 CONTRACTOR. n .59mE ROOMS: Aji S.9me DESIGNER ADDRESS CHANGE OF USE FROM PHONE 535- 9874 ZIP ON ZIP y/ TVPE LY NEW ❑ ALT. B ti. . I RPL 0 MVE. ]. OF WORN � BLO. ❑ PLMa. ❑ H. 0 N.H. ❑ POOL ❑OTHER DESCRIBE WORK aS/NQf6 'FAM/ V' !P65/ea,` 0 iWA0L �7r4C.,/ Q {(p.TALUAr ON sou645 OAS ETA TRIC III WATER SEWER •B." / 3000 UTILIT0E PTrC REGAL DESCRIPTION -SEE ATTACHED 01 uMBER/S (OT 0 00 5p -79_/y4 0E445/z- 9,2'6 Actual sot Backs M Past North ParcelIsomn2/ fList257O I t . SS" SI. of Classification APReo . /. z AceF5 AG. 5r.2oAPOM/ =N` /sty va�17Z, So e PrinkLNG ❑om Ono ❑ Req.. Building Area In Sq, Ft. 2558 In Floor Upper FbgN r Gump/Area /6.3Z [ 72G Area 1 Decks Flnisi N Basement 379 /2G7 No, Baths I No. Mori. Wage 3/7Inn, Basement No. Room INo. of Dwelling. CERTIFICATE of EXEMPTION Enum, Out, Loudon (AM) Ownarsnlp Puellt 0 PrIl3H Er I hereby certify that I have rood and gemmed this applicullun end h.rv,• ,„Id the "NO't1Cl." Inuvlsions included Oil reverse side, end know the same to be true end correct, All Conosc le. n1 lows canyI u?Jnencos governing this type of work will be complied with whether specified herein nr Col I Inn raR� n9 of{I pull) I of presume ID glue authority to violate or cancel the provisions of any faller Atilt I IncpY law leyuloiIli0 on or,fie performance of construction. SEE REVERSE SIDE FOR REQUIRED I PE NS DATE OP APPLICATION / �r7O SIGNATURE r.1 Arc I. IC SPECIAL APpROVALS NAME DATE SPECIAL CONDITIONS: USE CODE et e, IHyt RON. EES COLLECTED S'els S Building **W. Plumbing Mech. Plan Cheek SEPA Mobile Ham Other ISpadRA TOTAL S�Q•� (,2• .35200,' *352.0-0` n *352❑06 R *Q00 8 977.88 09=08'-80"' f 6479, WHEN MACHINE VALID/ITFO IN THIS SPACE. THIS BECOMES A PEIIMI 1 D