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1980, 08-08 Permit: 80-8279 DeckGAS DESCRIBE WORK 8. 9c-ix/gee 5,f/sr/2vy /Zees $)VALUATION 91414.0 O. OO PLAN NUMBER Iffi/fro APPLICATION/PERMIT SPOKANE COUNTY — BUILDINC4`6OGES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3•COPIES 1. 2. 3. JOB ADDRESS 5.33/z LOT /0 BLOCK �s Pox ),ao LEGAL DESCRIPTION - SEE ATTACHED -SUBDIVISION sxv iNekt/ OWNER -JONn7S ran/ ] *ere& ADDRESS 5•30/.Z FOX ;46.9.0 CONTRACTOR 4. k. G /3iQUE,e CO/US746/67lory ADDRESS /9927 6. .3oc°xr. ye PHONE CleC/C epee .Z PARCEL NUMBER/S 28s'/v/-/s/o ZIP 99ozc Actual Set Backs In Feet North 4/01 South 3S East IWest 7$ / PHONE . 92C- &csi Size of Parcel . 90 X /5"6 Zone Classification • S//1 -*/6(c p,qn ,L v ZIP qt9OZ7 Type Const. Occupancy Sprinklered Dyes ONo 0 Req'd. 5. DESIGNER PHONE ValuVion ADDRESS ZIP Main Floor Building Area In Sq. Ft.: /50 Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks /501 Finished Basement Unfin. Basement TYPE 7. OF WORK 0 NEW D BLD. D ALT. 0 AD N. W RPL. ❑ PLMB. 0 MECH. 0 M.H. D MVE. D POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. t/ SOURCE OF UTILITIES Enum. Dist. Location (Area) ELECTRIC WATER SEWER /,j/ C Ownership ./ Public 0 Private [J 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 la and ordinances governing this type of work will be complied with whether specified herein or not. The grant;- r of a permit does not presume to give authority to violate or cancel the provisions of any other state or local I, regulating c.D tructio or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT)' S ` �'1 / onAf^ DATE OF APPLICATION SIGNATURE OF APPLICANT /L1L4:It4 / ' thvg (160 SPECIAL APPROVALS G SPECIALS�CONDITIONS: (4 d9CTN Re -cense T/or Rcq`q NAME DATE Env. Health Planning Fire Marsha Co. Engineer Utilities Plans %j»miner 1�f S/O C ckli • Building Technician PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building 50 Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) ' TOTAL $ //•50 PERMIT NUMBER - 5t:2 ;8 Z.79 021* * 1 1.50 *1150 tz *11.506 E *000 8 827.8 p8=08`80 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES��E0A PERMIT. r0'8,1:. OPy10i'01 DATE rISSUEDI' PERMITTfC•/• 7 z - 1L YO-T,4U -a- ■■ ■' II■ ■■ � ■ ■■ ■ ' .. \ ■■■ ■■■ C...... ■• ■■■ ■■■■■■ ' ■ ■ II ill 35 _4 •• ■ el _ Ex/s7/"V4 aakW ■ 7 1 cow Po l —