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1980, 12-02 Permit: 80B-4358 Residence/ 02/02/ OC, 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 1. LEGAL DESCRIPTION — SEE ATTACHED LOT 2. BLOCK SUBDIVISION 3. 4. l'ix4°N)101.i �- PHONE 92l-- ADDRESS 1-6)• E 14- k 4 - CONTRACTOR PARCEL NUMBER/S 5-641 - 050 3 Actual et Backs in Feet North 'South 8 East 3 2 (West 5-3 PHONE Size of Parcel Zone Cla sification ��� �j 133.140 X (%-`.5A; IgAe( � i v" ADDRESS ZIP Type Const. V -N Occupancy r2. Sprinklered Des ❑No ❑ Req'd. DESIGNER 5' ADDRESS PHONE ZIP Valuatigpt. (9 Main Floor 19q-� Building Area in . Ft. Upper Floors Garage 7a2 �7 Storage CHANGE OF USE FROM 6. TO Area of Decks 336 FinishedBasement Unfin. Basement g0 TYPE 7. OF WORK ,-/� W ❑ ALT. ❑ AD'N. LJ BLD. 0 PLMB. ❑ MECH. O RPL. O M.H. ❑ MVE. O POOL 0 OTHER No. rigs No. Series No. Rooms No. of Dwellings I CERTIFICATE of EXEMPTION Req'd. Rec'd. Not7q'd. B WORK 8. DE�IIIVI�L 'I'IVI vi/ �� VALUATION SOURCE GASELECTRIC OF k 9. UTILITIES 1/ �j � Enum. Dist. Location (Area) WIjTER WIVC SEWE R Ownership Public ❑ Private lel USE CODE 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 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 construction or the performancc of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION 0 SPECIAL APPROVALS NAME DATE Env. ealth Planning Fire Marshall Co.m $,/ r„, Utilities Plans Examiner SPA Cb�ec lis 1rAuto /IQ SIGNATURE OF APPLICANT SPECIAL CONDITIONS: ri- r I - - 62 J 9-) f 1-1,cv4 r PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER ;,c* *38800 *38800 *38800 F *0.0 l- J 12-02-80 6479, u WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 121 & Zl_l8 •O DATE ISSUED PERMIT NO. 41:581 *318.0040 - TOTAL * P I