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1980, 08-13 Permit: 80-8463 GaragePLAN NUMBER 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. e' / . 3, (7' LOT BLOCK SUBDIVI I9N 2. ,r/,c /CS ,NE. 3.A\DRE'l f :. PHONE LEGAL DESCRIPTION — SEE ATTACHED PARCEL. NUMBER/S /Q6.«^', :�--cyclo �C 0TH z3/ -K A P �� _ `, ,! LEY6rAT,-+` ZIP ZIry 1761/16/' CONTRACTOR 7 PHONE Actual Set Backs in Feet (South [East -77 'West Zone Classification North Size of Parcel ▪ ADDRESS 1 y" DESIGNER ZIP Type Const. �.��1'I� Occ pancy S inklered ❑Yes ❑No ❑ Req'd. PHONE Valuation lry s. Building Area in Sp. Ft. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement 7. TYPE OF WORK aly NEW ❑ BLD. ❑ ALT. O PLMB. ❑ AD'N. O MECH. ❑ RPL. O M.H. O MVE. O POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION 8. D SCRIBE WORK VALUATION 47,3 G! L)LJ ▪ /14-.,e1 . SOURCE GAS OF UTILITIES ELECTRIC WATER SEWER Enum. Dist. Req'd. Location (Area) Ownership Public ❑ Private( USE CODE I hereby certify that I have read and examined this application and have read the "NOTICE" provisions includeu 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 performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS /% TE OF APPLICATION �S `�-� SIGNATURE OF APPLICANT ',/�/�✓�.'i) e /�iC G'L U SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Env. Health �C Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist 4ct'h lding Technics � �il/'Y.teAt PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Rec'd. Not Req'd. FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL h W'. -"ER IT NUM?R 02* *5600 *5600 *56006 E * 0.0 0 U 84628 08-1�-80 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. '08H"8' 0' DATE ISSUED 84`6,35 *56.00°� TOTAL PERMIT NO. Peitco& /9340 Hc-lt g4eetoiteicyt h71" ,5�it a 40/,x- Plael ffig /0611 /9 5-5-a - 0 goy