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1980, 05-30 Permit: 80-5137 Pool
PLAN NUMBFn APPLICATION /PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS LOT 2. L�1c,.G A' -ice -I LOC� K��SUBDIVISION LEGAL DESCRIPTION — SEE ATTACHED OWNER 3. .� l >C�cs� ) l-b (Fw• A.sv ADDRESS ica4K. 4. CONTRACTOR ADDRESS PHONE ZIP et©1_(„ PARCELNUMBER /S tar ZL-K c 11 CUR -Y3 i N At —OAF BECj. 330 LS F W c.N O b( tP)ss4- -oq 14- Actual Set Backs in Feet North `South 'East DESIGNER ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK NEW ❑ ALT. ❑ PLMB. ❑ BLD. PHONE ZIP PHONE ZIP TO ❑ AD'N. ❑ MECH. ❑ RPL. ❑ MVE. ❑ M.H. ErPOOL ❑ OTHER Size of Parcel West Zone Classification Type Const. Occupancy Valuation r Cv c 3 C2_Q Main Floo Area of Decks Sprinklered ❑Yes 11 No ❑ Req'd. Building Area in Sq. Ft. f � )C Q Upper Floors Garage Area PERMIT NUMB n 02* *50,00 *5000 V) *50.006 E *0,00 513.6 05 -30 -80 6[t79, Storage — Finished Basement Unfin. Basement No. Baths No. Stories No. Rooms No. of Dwellings DESCRIBE WORK $. C.S4©E�"1'1e3't— SL tvl. if\C "-PcsgL VALUATION SOURCE GAS ELECTRIC WATER SEWER ��}Q! �") OF y; � (o(j 0, UTILITIES 1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on reverse side, and know 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 of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating onstruction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS OP CERTIFICATE of EXEMPTION Enum. Dist. I Location (Area) Req'd. Ownership Public ❑ Private USE CODE DATE OF APPLICATION SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Buildin Technician SIGNATURE OF APPLICANT SPECIAL CONDITIONS: 1- -AL--r -t L &5E- l �. PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Rec'd. Not Req'd. t✓ FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify t1,EC :. 2_5= oc TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 015 ° -►3'0' 8 0 DATE ISSUED 513,72 *50.00 °j PERMIT NO. TOTAL _ H FLA `)/ /0. Ci-) yyt 'ipor, 30" E v+ LY rrk-AD ...Ve.,:ovt