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1980, 03-05 Permit: 80-1803 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 4 COPIES - JOB ADDRESS /.6-3/ 7 0,4, y�-- LOT BLOCK SUBD V ON 2. /( 'd3RatL,i'.IatCt.l .t .r i -x) PHONE 9 —S'776 O NERg�77��--�������� 3. •CL6L 4 . r.. DRESS F is3/7 e.��/JD- '1b CONTRACTOR -- - — LEGAL DESCRIPTION- _SEE ATTACHED _. 5. ^R ESS 41/7441---- DESIGNER NVVf--- DESIGNER ZIP 9, C37 PHONE- ZIP PHONE PARCEL NUMBER'S /445--W- al( 445-- - al( - V FRA.D41_ p4RK Am) Required QSet Backs in Feet o iJ7 ISauthjK/ East /3/ (West North PERMIT NUMBER 69:7- /'0a DATE Size of Parcel- 7------- -- -Zone-Classification--- -- -- grk,D¢ APP 4 vurt▪ pi,.�i. .let. Type Const. Occupancy f Sprinklered ❑yes ❑No 0 Req'd. V uation �Q fo760 - Building Area in, Sq. Ft. ADDRESS ZIP D CHANGE OF USE FROM 6. TO TYPE 7. OF WORK NEW 0 ALT. 0 AD N. 0 RPL. ISI BLD: 0 PLMB. - ❑ MECH: ❑ M.H. - ❑ MVE. ❑ POOL ❑OTHER N WL Area Basement Area Garage Area 7Jo/ - Split Entry 'SPIi Level Rancher 4 e" No. Baths No. Floors Storage No. Rooms Rec. Room -CERTIFICATE- of EXEMPTION — Req'd. - ooJJDESCRIBE WORK • 8. 4�/ f, r atg V 2- AQ9.�,I.Lt1�sf t.L. ALUATI N t Source GAS /4L3aD of Utilities ELECTRIC WATER SEWER 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. DATE 3- JIRD SIGNATURE DEPT. ;SPECIAL -APPROVALS - - -- REQ'D. RECD. Env. Health 0./t. 2.L/!.L eq.". 3 -,jt gz) Planning Fire Marshall Co. Engineer Utilities . Zone Clearance • SEPA Checklist's HOME OWNER'S WARRANTY yEe I -j SPECIAL CONDITIONS: PLANS Affio Vt) DATE 3-5- OFFICIALS APPROVED FOR ISSUANCE Not Req'd. X -- -FEES COLLECTED - - - Single $ ,462-- Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $hZ 02* *6200 *6200. t1 *6200i5 E - *Q00 8 18022 03-05'-80 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS IrMA;P,MIT. 1 o n 3 z 6 2.0 0,2 C C L LL 6 2 Ap- l o8' J 3 e.,DOo0. f,,,.n„F Haupt _ N= J 3 RAF-rEM- /Lie -MADE. Sewrtd'j 9"' nt a r' NrJ STuDirvy 2X9 AR Spur rdre"oc53 ea 7' House x c NE l✓ &a f Ase xs 72' '—/3 roma' of Lot tscrrag S lee i U 42 pak�t Ain IL# nF N,:(,. 5A--.141 1;0.15 /v.Q. •