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1980, 04-18 Permit: 80-3676 Move Residence, Renewal of J0065APPLICATION/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 i.e, i/7PZ-2 f 5 BD LOT 2. BLOCK LFGALDESCRIPTION — SEE ATTACHED SI ON oINER ADDRESS p pwe a //722 7�ci.0 2w/c2_ HC�O�NNTRACTOR 4. ADDRESS ,do,t.ka DESIGNER • ADDRESS PHONE 923-9239 PARCEL NUMBER/5/�'$—/Jl/1L—Qs23 • tut exc. ab 2 i5 ",L..Ess R/w EX C. N.20 rRACr /S9 oppowru.v/ry ZIP 99 06 PHONE ZIP PHONE ZIP Actual Set Backs In Fe t • North • (South Size offarcel . 90x3,06 Type Const. Valuation Main Flo2r /64-h Ea(t 'West Olocenatettgiad- Zone Claysif'cation Sprinklered Oyes ONo 0 Req'd. Building Area In Sq. Ft. Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks • Finished Basement Unfit). Basement 6037 • TYPE` .0 NEW ' 0 ALT. 0 AD N. 7. OF WORK BLD. 0 PLMB. 0 MECH. ❑ RPL. ❑ M.H. MVE. 0 POOL 0 OTHER No. Baths No. Stories. No. Rooms . 7 No. of Dwellings CERTIFICATE .of EXEMPTION Req'd. Recd. Not Req'd. DESCRIBE WORK 8../QL1.4/4 VALUATION 9. 50 of , DOST CR, T-r•.s4 SO u'k CE GASOF ELECTRIC WRIERSEr�ER UTILITIES Enum. Dist. Location (Area) Ownership Public 0 Private AZ 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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION SIGNATURE OF APPLICANT d24-�/�LGdi,�%L.y�F` _`r i SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities. Plans Examiner SEPA Checklist Building T chn/cian R•� dcau SPECIAL �CO�N gD�ITIIO�'N,N,SS: wt 61+1++44-4- I,' ,et PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Horne Other (Specify) '46 TOTAL "CIO PERMIT NUMBER gD —374 02* *4Q00 *4Q00 367.52 04-18-80 64.79. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0'0911.1!-131.10? Y6 7.6 z X 4 0.O'0.Ri p' DATE ISSUED PERMIT NO. TOTAL