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1980, 10-14 Permit: 80B-1902 ResidencePLAN NUMBER { 11 Basic Plan t /©/ /i/ /re) 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 /V /30 7 ric s Cr LOT BLOCK SUBDIVISION iPpe,e coe4. /0i3/4 3. 4. OWNER /V&A.- clot ST,e'Gfc 7 /aw ADDRESS /27el 6 SPien4 cie- CONTyy��R��ATTOR SA W/6 ADDRESS ✓Aflt S DESIGNER ADDRESS 6. CHANGE OF USE FROM TYPE 7. OF WORK VNEW T/BLD. TO / / ❑ ALT. ❑ AD'N. ❑ ❑ PLMB. ❑ MECH. ❑ PHONE Z2—cice -2 ZIP 99'Zi' PHONE ZIP PHONE ZIP ❑ MVE. ❑ POOL ❑ OTHER LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER /S 1��,51 -�12rz Actual Set Backs in Feet North S 'South ?-p East 26- West Size of Parcel Zone a ificati n Type Const. Ocptipancy Sprinklered ❑Yes ❑No ❑ Req'd. Valuation 33 Building Area in Sq. Ft. Main Floor P641 Upper Floors Garage Area Storage Area of Decks 86 Finished Basement DESCRIBE WORK 8. 3iiiX E F,q -iic r/ R6- 5/,01 -eve- di VALUATION o°33 3 0 I 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 whe r sp ified herein or not. The granting of a permit does not presume to give authority to violate or cc@ncel the rovisio s of any other state or local law regulating construction or the performance of construction. SEE\REVER SIDE FOR REQUIRED INSPECTIONS SOURCE OF UTILITIES GAS ELECTRIC 4"%r4Cl L7 WATER SEWER No. Baths No. Stories ¢ERTIFICATE bf EXEMPTION Enum. Dist. I Location (Area) Ownership Public ❑ Private No. Rooms Req'd. Unnffin.�B/asement C?.6 No. of Dwellings Not Req'd. Rec'd. USE CODE DATE OF APPLICATION SPECIAL APPROVALS yyy/// / / /��� NAME DATE Env.Jg+p: ie to Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Building Techni SIGNATURE OF APPLICAN SPECl/..L CONDITIONS: PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single Building 2€0.Cc Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ •z(O -c..c (PERMIT NUMBER, gc:/3- �yv� 02* *21000 *21000 5 *210006 A *000 168.82 10- 09-80 6,75 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSUED 190.25 *:210.002 H PERMIT NO. TOTAL