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1980, 02-05 Permit: 80-858 Storage ShedPLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DESCRIBE WORK FEES COLLECTED s. J}TTAr-I 'roR.A � =o V LUATIO�N� Source GA ELECTRIC WATER SEWER 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 construction. � Plumbing DATE,, �u SIGNATURE cy Mech. SPECIAL APPROVALS DEPT. REQ'D. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SPECIAL CONDITIONS: —k SEPA Checklist DATE OFFICIAL Plan Check SEPA Mobile Home Other (Specify) TOTAL $ 4 Aj DATE WHEN MACHINE VALIDATED THIS BECOMES A PERMIT. 02-05"-80 PERMIT NUMBER 2* *4.4.00 * t l! 0 0 Ln 4,00 E ; 0,00 (131 84,46 02-04-80 6.479. PACE, 85,8 2 *44.00 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED t. �• ioz L.vr��; LOT BLOCK SUBDIVISION L4R5/1/ AOD Td PARCEL NUMBER/S/9,S-a- -,111,5 2.// I / 1ZEG ik) AC IZG- a ,E s 4- D T / l [3 .c -k / C D 90 11V .4 DD. 7-6 x t?,EEN.QCRdFS •- M41VIad -o NOMI eS OWNS PHONE I 3. S c:�t11 ADDRESS ZIP Required Set Backs in Feet S. 'jO'L D I, r. North 4 South /d / East 73 West CONTRACTOR PHONE Size of Parcel Zone Classification i\ ANC -7 O 4 X �!1 4. A DRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuations Buildingt'Area in Sq. Ft. p 5. ADDRESS ZIP OWL Area Basement Area Garage Are Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. No. Baths No. Floors No. Rooms Rec. Room 7, OF ❑ OTHER CERTIFICATE Req'd. I Recd. Not Req'd. WORK BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL of EXEMPTION DESCRIBE WORK FEES COLLECTED s. J}TTAr-I 'roR.A � =o V LUATIO�N� Source GA ELECTRIC WATER SEWER 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 construction. � Plumbing DATE,, �u SIGNATURE cy Mech. SPECIAL APPROVALS DEPT. REQ'D. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SPECIAL CONDITIONS: —k SEPA Checklist DATE OFFICIAL Plan Check SEPA Mobile Home Other (Specify) TOTAL $ 4 Aj DATE WHEN MACHINE VALIDATED THIS BECOMES A PERMIT. 02-05"-80 PERMIT NUMBER 2* *4.4.00 * t l! 0 0 Ln 4,00 E ; 0,00 (131 84,46 02-04-80 6.479. PACE, 85,8 2 *44.00 W, % -7