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1980, 07-22 Permit: 80-7457 AdditionPLAN NUMBER , CO, 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 JOB ADDRESS 1. .3OS 5cO. l.t('A* LEGAL DESCRIPTION — SEE ATTACHED LOT 2. 1 BLOCK SUBDI VISIgV k frcit2FicoIJ 3. 4. OWNER W 1'7)0 �Kfi,a ADDRESS 30ej SO_ L, CONTPArTOR ADDRESS ro- %61 -2 - PARCEL NUMBER/S 2 6i{ — It Ci ZIP ?7 -Ica Actual Set Backs In Feet North -2 l% 'South East 3 'West6 ZIP Size Of Parcel 96s"?‘.13S Occupancy Type Const. Zone Classification s1 L6i ILS Sprinklered Dyes DNo 0 Reg'd. 5. DESIGNER PHONE ADDRESS ZIP Valuation lll og Main o la70 Building Area ig_ Ft. Upper Floors Garage Area . Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK ❑NEW 0 ALT. E/BLD. 0 PLMB. lE AD N. 0 MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Fjpq'd. DESCRIBE WORK 8. VALUATION 9. o Acn9 rriC41 07x 3 7 SOURCE GAS ELECTRIC WATER OF itrtir- UTILITIES Enum. Dist. • Location (Area) SEWER (IG Ownership cei USE CODE Public 0 Private 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 o,the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPE DATE OF APPLICATION ro SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env: Health Plannin Fire Marshall Co. Enginee Utilities Plans Examine SEPA eckl Ist SPECIAL CONDITIONS RAIL -ib ov40602 / 1 dM i •%ett i- c e 0 1- s -g ,a�ro PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building V`P' • Plumbing Mech. Plan Check SEPA Mobile Home ' Other (Specify) TOTAL $ 121Z rRMIT NUMBER( 80- 7'/S7 02.* *12200 ' * 12200 * 122006 *0.00 7,430B 07-21-80 '2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, - THIS BECOMES A PERMIT. 217,180 7,181,'Q' DATE ISSUED' 74'5.7`5 *122002p PERMIT NO. TOTAL • • • [9Y �PJSiad(.L piny surmUJo 'IPPQM P9os aq pet's f • . P�gds l0 mos LpIM tJ00! 01 Joi vv.- • r 2ec H L Des iJo tJ o/v Legrha. Lane Add L/5/ 1P:0-Gel/A' as 5y/ -ego% X115 eor o id3 - . .v • r