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1980, 09-25 Permit: 80B-886 ResidencePLAN NUMBER —fid iasic Plan 1 JOB ADDRESS 1. /7/© S 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 LEGAL DESCRIPTION — SEE ATTACHED LOT 2. , OWNER BLOCK L SUBDIVISION Snc - /t !+ U/+/YS ADP 3 R1 --t? cc,vST cc) ADDRESS /DO. , t/.Z/ CONTRACTOR ADDRESS DESIGNER 4. 5. ADDRESS PHONE ys 9AS> $6" PARCEL NUMBER/S T 13x•/c 2 5 t': /t ✓ D.) /k'iS ft®.d.1'/C+V 265'1/ - 2766 L.0 ZIP 7yy Actual Set Backs in Feet North 27' South 2'1 East a ?O / 'West PHONE PHONE Size of Parcel 11 Zone Classification �kx/&lx 7eJCn/7L ZIP Type Const. Occupancy S/N Sprinklered ❑Yes ❑No ❑ Req'd. PHONE ZIP Valuation 37,600 0 Building Area in Sq. Ft. Main Floor Upper Floors /2/2-- /y 0 Garage Area 4 ZO Storage 0 CHANGE OF USE FROM 6. TO Area of Decks 0 Finished Basement 0 Unfin. Basement TYPE 7. OF WORK ❑ NEW O BLD. O ALT. O PLMB. ❑ AD'N. O MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER No. Baths No. Stories 2, No.7Rooms No. of Dwellings / CERTIFICATE of EXEMPTION Req'd. Rec'd. DESCRIBE WORK 8 COST Siv• / i4N AS VALUATION 9. SOURCE OF UTILITIES Enum. Dist. G 4R4G 7, '(R ILocation (Area) GAS ELECTRIC i//-i4A— WATER SEWER Ownership Public 0 Private X 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 performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION q —,2s17-8-4) 4) SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE n e Ith del earl 9/7-6 Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Byildir7F Tejchnicitn SPECIAL CONDITIONS: • PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Not Req'd. X FEES COLLECTED Single $ D G' Building 2 g‘- Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ R4, P E' 51 I N U Mp" * 28600 * 2&_'6001 175 *286006 *000 8852 09-25-80 6t4.79 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSUED 88.6° *286,002 PERMIT NO. TOTAL