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1980, 07-21 Permit: 80-7403 Siding, Soffit, Fascia
PLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRES 3 HARD TO MAKE 3•COPIES 1. 2. 3. JOB ADDRESS �1� ?71V 6. $1 visae.\k Sol ne' Ufa. 99206 LOT BLOCK .aver, LEGAL DESCRIPTION — SEE ATTACHED OWNER rr-J ADDRESS Same T. Rlbir, PHONE eirT - 74- 23 PARCEL NUMBER/S ZIP Actual Set Backs in Feet North (South East 'West CONTRACTOR 4. CVay r 13-,+hes ADDRESS' M. 3Io(, Ay-serr:he. Ra DESIGNER 5. C oh1 VaCiro rS PHONE 921-4686 Size of Parcel 1 Zone Classification ZIP •992ob Type Const. Occupancy Sprinklered Dyes DNo 0 Req'd: PHONE Valuation I Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors I Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfln. Basement TYPE • D NEW 7. OF WORK D BLD. 0 ALT. 0 AD N. 0 RPL. ❑ MVE. 0 PLMB. 0 MECH. 0 M.H. 0 POOL %OTHER Y No. Baths' No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK s. VALUATIO 9.'3809. 52 O6RCE OF UTILITIES 5 ELECTRIC WATER SEWER Enum. Dist. Location (Area) Ownership ' Public 0 Private 0 USE CODE 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 or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS� DATE OF APPLICATION /`/ �lSIGNATURE OF APPLICANT SPECIAL APPROVALS (I SPECIAL CONDITIONS: NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Build g Technlu Build 'O/So PERMIT IS NONTRANSFERABL• PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech- Plan Check SEPA Mobile Horne Other (Specify) Krpa l ✓ TOTAL $ .0 PERMIT NUMBER 8©-7ye, 3 02* *44.00 *4400 to *44006 E *000 739.62 t. 07-21-80 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. C7' S; 07 4 0, 3 Z 1rt 14 0.0 a: DATE ISSUEDPERMIT NO. TOTAL F.