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1980, 09-10 Permit: 80-9915 Garage
PLAN NUMBER:. :. r, I•-�> 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 ADD E S Et `°� 1.1)8 L J :cit./I;o we W 1 LEGAL DESCRIPTION - SEE ATTACHED 3. OWN ;10 NA/ Ueradede/mss Ir PHON 92-71-w PARCEL NUMBER/S /415Iv/2 -/626 ADDRESS Imo© 5 1765 M ZIP Actual Set Backs in Feet North 'South East 'West 4. CONTA TOR LRin %C r1AtJi �rlS'1; ADDRESSc 4 `j �0 PHONE 92.6-6130 P9�c Size 4f.Parcel Zonie Classificat`n • �7X VLIC Type Const. Occupancy Sprinkl red Oyes 0No 0 Req'd. 5. DESIGNER ADDRESS PHONE Valuation 0 BuildlnitstRy Sq. Ft. ZIP Main Floor Upper Floors Ga age rea SIRIPge CHANGE OF USE FROM 6. TO NEW Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK 0 ALT. AD N. 0 RPL. 0 MVE. BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL 0 OTHER No. Baths No. Stories Na. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. • Recd. Not 4'd. DESCRIBE WORK B. 4N/-rIjVC zoic VALUATION GAS ELECTRIC R 9. SOURCE OF UTILITIES Enum. Dist. Location (Area) EWER ' Ownership Public 0 Private /USE CODE I hereby certify that 1 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 c. struction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTI) a DATE.OF APPLICATION SPECIAL APPROVALS NAME DATE Env. Health 0/41P/1 ).0 Planning SIGNATURE OF APPLIC SPECIAL CONDITIONS: . CofJr VLC.CLI�00-%-0_.33 lgfo/8100 cz1�// -� frzeteek Co. Engineer Utilities Plans Examiner CH SEPAM e5ns. Ul rr 19/2) PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED S ogle Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER So - 99.5 02* *4`400' *44.00 rn- *.44.006 A "*Q00 991.42 09=10-80 2 6479. r WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSUED 9'91.5,2 *.4`410.112,e_ PERMIT NO. TOTAL 0 ULU J LL 11:. _y n n nn il ■ ■■■ ■n 9 Vnit rtn, iae►n5 ■■ ■ ..