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1980, 09-23 Permit P80B-481 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR TYPE OF WORK NSE W SET BACKS FINAL INSPECTION: REMARKS: ry (.d OC42to-f6-0 612 c :6 d 4 ANN'�f.YBER 2 1 OWNER 3: • ** �D %o120 DESIGNER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON geaeo / Mg/ 466-0076 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 6. ADDRESS CHANGE OF USE FROM. ITD a Ty^E DEIEW 0 ALT. 0 AWN. 0 RPL i. OF wo6R O BLD.. D.PLMB. 0 MECN. 0 M.H. RIBS WORK L�/��� � � � OFAC l� /A.LL[A.CLC • VALUATION SOURC OAS ELECTRIC WATER SEWER . Ownwsni, B. UTILITIES Public DPOWI. O Pa PHONE ZIP PHONE ZIP 0 OTHER LEGAL DESCRIPTION - SEE ATTACHED PARCELNUMBER/S aV/C/41 Actuol Se1 Becks In Fes North !South l list !West SIN or Parcel Zone ClaRifieapon rvp• wnn. Couto.. Sprinkler. OVea ONo 0 Rec.. Valuation I Building Arlie to Sp. Ft. Mein Floor Upper Floors 1 ONaga Arse Area of Decks No. Baths Storea Finish. Basement I Odin. Be1m•nt No. Stories I No. Rooms TE j Reed. rt Rea'd. ON I CERTIFICATE of EXEMPTI Enid, Olat. Location (Areal USE CODE I hereby, artlfy'thet I have read and examined this application and have read the "NOTICE" provisions Included on mNene side,•endknow the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting oI a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the • performance of construction. SEEREVERRSSSE SIDE FOR REQUIRED INSPECTIOON�NS//oo DATE OF APPLICATIONSIGNATURE OF APPLICANTvC.�`tL SPECIAL APPROVALS SPECIAL CONDITIONS: Env. Health 11In111 yr• Marshall .o. Engines, )1I11111ea / FD /-LlNiL ,, LRdJ rcud' 2 /laaLDw ri D R•e'd. No. of Dwellings FEES COLLECTED Sinel S Building Plumbing Mech. Plan Check BEPA Mobile Home Dtmr IBpeclNl yy TOTAL Sg°j•YJ APEAMIT NUM/ • P3• •3800 *3800 G, •3800Ei •000 8 4H08 09-18-80 / G479.