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1980, 02-06 Permit: 80-1820 Renewal Permit ResidencePLAN NUMBER JOB DDRS 1. �G LOT BLOCK 2 I OWNER 3 ADDR SS� N�. +lo CONT C 4. ADDRESS DESIGNER i< 5. ADDRESS 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 /t��,;517FCJ*j LEGAL DESCRIPTION — SEE ATTACHED SUB IVISIONc I IA �RCEL�NUMBER/S _ O ��lww((1�f1 f� t7 I F s` -7� 01114-71 G P F ONE Z �- I o �T Nd . 1 p Required Set Backs in Feet North South East West PHONE Size of Parcel Zone Classification A© x 1,+ ZIP Type Const. Occupancy Sprinklered Dyes ❑No ❑ Req'd. PHONE Valuation Building Area in Sq. Ft. ZIP DWL Area Basement Area I Garage Area (QJ, Storage TYPE /� No. Baths No. Floors No. ooms Rec. Room lH NE ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE. � --- 7, OF ❑ OTHER ORK ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd. of EXEMPTION WORK 8 E Lr -1 M + �- FEES COLLECTED VALUATION { Source GAS EL CT IC WATER SEWER of G 9. Utilities Single $ 1 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 Building ` 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 Qconstruction. Plumbing DATEof!i� SIGNATURE Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: 5'. NjAL, OF !�� Plan Check DEPT. REG!'D. RECD• �rj�//G/} ^ 6 Env. Health SEPA Planning Fire Marshall Mobile Home Co. Engineer Other (Specify) Utilities TOTAL $±�--� ! Zone Clearance WHEN MACHINE VALIDATE $EPA Checklist THIS BECOME,$ A PERMIT. DATEOFFICIA DATE PERMIT NUMBER 60 -/ SPACE, Q c LL a C/ z