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1980, 12-16 Permit: 80B-4923 DuplexYLHIV IVUMt3tK, APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 VALLYATIONI SOURCE GAS ELECTRIC WATER SEWER Ownership 1presume OF 9. UTILITIES_ Public ❑ PrivateSingle $ 1 hereby certify that I have read and examined this application and have read the "NOTICE" provd on reverse side, and know the same to be true and correct. All provisions of laws and ordinancesis2JI��r' type of work will be complied with whether specified herein or not. The granting of a permit doe Buildingto give authority to violate or cancel the provisions of any other state or local law regulating conseperformance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONSPlumbing f-1DATE OF APPLICATION 1,0 ..-31 SIGNATURE OF APPLICANT Mech. SPECIAL APPROVALS NAME DATE *ar 1.0 C En eer Uti i Plans Examiner PERMIT NUMBER ©C3 - 4q 2"2j 02* *283.00 *283.00 *283000' A *0.00 41 1.52 1 1 -24-80 z 6479. SPECIAL CONDITIONS: Plan Check SEPA Mobile Home �a `�'11CX . F1,'ISL,G� �'T�gC.b,iE1p Other (Specify) \\ . V , TOTAL $ A90 3II WHEN MACHINE VALIDATED IN THIS SPACE, `.( pt-Aty6THIS BECOMES A PERMIT. � 1 .Y ing Tec iva PERMIT IS NONT ANSF RABLE 1,'�i 1 6 ���8'Q'i 4 9;2'.3 �ZI-. *. 2 8 & 0 0 °a. � La Lti'ia PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL i L L APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. , 3017 —j LEGAL DESCRIPTION — SEE ATTACHED L B K IbUBDIVISIONPARCEL Unfin. Basement NUMBER/S��_�7�/ 2. — OW ERPHONE ❑ AD'N. ❑ RPL. ❑ MVE. 3. No. Stories No. Rooms 51Z6 -4 7, OF ADDRESS ❑ OTHER ZIP !/ Actual Set E{acks in Feet CERTIFICATE •t! North South East ,5— West ❑ POOL CONT ACTOR PHONE Size of Parcel Zone Classification 4'ADDRESS ESCRIB WORK 8 7 400 `k' % 2.'✓ APP. Enum. Dist. Location (Area) FEES COLLECTED ZIP Type Const. Occupancy Sprinklered Dyes ❑No ❑ Req'd. DESIGNER r PHONE Valuation Building Area in Sq. Ft. 5. 10 10 1 — / ADDRESS ZIP Main F oor Upper Floors Garage Area Storage VALLYATIONI SOURCE GAS ELECTRIC WATER SEWER Ownership 1presume OF 9. UTILITIES_ Public ❑ PrivateSingle $ 1 hereby certify that I have read and examined this application and have read the "NOTICE" provd on reverse side, and know the same to be true and correct. All provisions of laws and ordinancesis2JI��r' type of work will be complied with whether specified herein or not. The granting of a permit doe Buildingto give authority to violate or cancel the provisions of any other state or local law regulating conseperformance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONSPlumbing f-1DATE OF APPLICATION 1,0 ..-31 SIGNATURE OF APPLICANT Mech. SPECIAL APPROVALS NAME DATE *ar 1.0 C En eer Uti i Plans Examiner PERMIT NUMBER ©C3 - 4q 2"2j 02* *283.00 *283.00 *283000' A *0.00 41 1.52 1 1 -24-80 z 6479. SPECIAL CONDITIONS: Plan Check SEPA Mobile Home �a `�'11CX . F1,'ISL,G� �'T�gC.b,iE1p Other (Specify) \\ . V , TOTAL $ A90 3II WHEN MACHINE VALIDATED IN THIS SPACE, `.( pt-Aty6THIS BECOMES A PERMIT. � 1 .Y ing Tec iva PERMIT IS NONT ANSF RABLE 1,'�i 1 6 ���8'Q'i 4 9;2'.3 �ZI-. *. 2 8 & 0 0 °a. � La Lti'ia PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL i L L a'5— 7,1, ' CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. — TYPENEW ALT. JiiLT ❑ ❑ AD'N. ❑ RPL. ❑ MVE. No. Bath No. Stories No. Rooms No. of Dwellings 7, OF ❑ OTHER , CERTIFICATE Req'd. I Recd. Not Req'd. WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL of EXEMPTION ESCRIB WORK 8 7 Enum. Dist. Location (Area) FEES COLLECTED VALLYATIONI SOURCE GAS ELECTRIC WATER SEWER Ownership 1presume OF 9. UTILITIES_ Public ❑ PrivateSingle $ 1 hereby certify that I have read and examined this application and have read the "NOTICE" provd on reverse side, and know the same to be true and correct. All provisions of laws and ordinancesis2JI��r' type of work will be complied with whether specified herein or not. The granting of a permit doe Buildingto give authority to violate or cancel the provisions of any other state or local law regulating conseperformance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONSPlumbing f-1DATE OF APPLICATION 1,0 ..-31 SIGNATURE OF APPLICANT Mech. SPECIAL APPROVALS NAME DATE *ar 1.0 C En eer Uti i Plans Examiner PERMIT NUMBER ©C3 - 4q 2"2j 02* *283.00 *283.00 *283000' A *0.00 41 1.52 1 1 -24-80 z 6479. SPECIAL CONDITIONS: Plan Check SEPA Mobile Home �a `�'11CX . F1,'ISL,G� �'T�gC.b,iE1p Other (Specify) \\ . V , TOTAL $ A90 3II WHEN MACHINE VALIDATED IN THIS SPACE, `.( pt-Aty6THIS BECOMES A PERMIT. � 1 .Y ing Tec iva PERMIT IS NONT ANSF RABLE 1,'�i 1 6 ���8'Q'i 4 9;2'.3 �ZI-. *. 2 8 & 0 0 °a. � La Lti'ia PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL i L L --6 A F F I D A V I T + hereby certify that I purchased the following described real property: 1-O in 19 66), that at the time that I purchased the above des- cribed property, I was unaware of the fact that the property had been subdivided in a manner that did not fully comply with the provisions of RCW 58.16, et seq. or RCW 58.17, et seq. DATED this day of , Name Address SUBSCRIBED and SWORN to before me this �V�day of Notary Public in and for the State of Washington, residing at Spokane M VY LAJ, rpcCPPOOMNI'M WA