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1980, 10-24 Permit: 80B-2615 ResidencePLAN NUMBER /Z— /Oyu` +6/-1 /SO 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 1. 2. 3. 4. JOB ADDRESS E.F Itli�l� IVs. LOT I BLOCK SUBDIVISION l IVISION 0 IS 14it.ctA PHONE 9?b -873' ownT0' I l C ELA NI L1.O ADQ�ESSI II�+I� 4-0-114 cfJI�aG -IS cL��vjf� Gi �'t&r' ADDRESSL'O C Horn • tt LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S .7_754-3_ O2_O, Actual Set ���Bj3 cks in Feet wJ I� North fes/ (South East ""2-- (West 5. DESIGNER PHONE %26 -zpOl PHONE SI a of Parcel I� Zo a Classlficatlgn ISD X 1 I / I�i'1U//p✓f Type Const. V�s Occupancy Spri lered 3 ❑Yes ONo 0 Req'd. Valuation ` } • `/'II� 3 ql� BuildIT9,4irea In Sq. Ft. ADDRESS ZIP Main Floor CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Area of Decks Finished 8 Garage_ -2 Base ent Storage Un in. Basement L7 NNEW 0 ALT. 0 AD N. 0 RPL. 0 MVE. V BLD. 0 PLMB 0 MECH. 0 M.H. 0 POOL ❑ OTHER No. Baths ..3 No. Stories No. Rooms No. of pwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not Fifq'd. 8. DESCRIBE WORK, , I/ `•Acgmt Enum. Dist. Location (Area) VALUATION 9. SOURCE OF UTILITIES GAS ELECTRIC WATER SEWER Ownership Public 0 Private ,USE CODE 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 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.tifSEE13.191 REVERSE SIDE FOR REQUIRED INSPECTIONS �/ //// DATE OF APPLICATION `i —r /L3 1 COlit/ SIGNATURE OF APPLICANT Rf gnf.C7flt.d litlf/A SPECIAL APPROVALS SPECIAL CONDITIONS cof�o-( L-kC{— r� I✓s-G�o3rxp 3/2.6�SI NAME DATE En Heyt e� �6 Planning Fire Marshall Co. e=r Utilities Plans Examine /fi 5 lel SEPA Checklist ian PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ - Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT RUMBEF+ g aCo IS 02* *32800 *32800 *32.00e) A *Q00 8 261.48 10=20-80 2 6,479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 110''- 2+41=8•'0) 2.6'15 25 43.28,0,02.1-2 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL 00 O LiJ J i° //! 33 „94' rf ,.c lc -7)" Fr; — vice ' N; ‘, 4y,-40., L) F G aa.. 387 7 ,,:;�o=/=,:r—r So 13 r_So�- i l Licyo...4or'7 . t. 1.oeR 5 _.Nt'L1.ctp"sr./feEs c2,vD 400. ic1/92tdZL1,275-' 8 -« °7 Pkor Pt+c)rir Q/4% Sc:,9 . " ' - �? �`-011o/13 / hyo.