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1980, 08-05 Permit: 80-8159 Residence
PLAN NUMBERr, 6 Ws io 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 LOT BLO SUBOUI .-- 3 CIIP3►Ar "AV/C/11611 OWN R ADDRESS 12-7 24 5 - s 1116 CONT T R LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S I tJl !'e� t - �jH9L2 t40o7 PHONE Actual $ t Backs in Feet North 2'0 'South (East ='0 'West Size of r e X 1+0 I''� SprinkR Oyes ONo 0 Req'd. Garage Area Zone Classlficatio red ADDRESS ZIP . Type Const. Occupancy 5. DESIGNER ADDRESS PHONE Valua tl�n _, d Building Area s in Sq. Ft. C/ ® ZIP Main ��Ftl^oo& / W Upper Floors Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfio_ Basement O eo TYPE 7. OF WORK YJ fyEW 0 ALT. BLD. 0 PLMB. ❑ AD N. O MECH. O RPL. O M.H. O MVE. O POOL 0 OTHER NO. Baths CERTIFICATE of EXEMPTION No. Stories No. Ffooms No. of Dwellings Req'd. Recd. Not pets. DESCR JE WORK 8. q1-6, LT' VALUATION 9. • SOURCE OF UTILITIES GAS Enum. Dist. Location (Area) ELECTRIC _WATER ,0 5- EWER G Ownership Public 0 Private 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 -1-3:2)— SIGNATURE OF APPLICA SPECIAL APPROVALS Env. Hf /e NAME DATE Planting Fire Marshall Co. Engineer Utllitle Plans Examiner SEPA Checklis Ing Ted 'I•t© SPECIAL CONDITIO S: CeNil; I,i c. �No - - 215 1--2 r,-/t.J o hj r Lei Mhi 1, --re) r APPFICCieN li l:lRLf l l tai 111.1' Y' Contact County Engiwost's 4�it,Ge 6/2-4.13v PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL F RMIT NUMBER eo -8197 02'* *21.500 *21500 17) *215006 E *000 S 79422 07-3;1'-80 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. '0, 8:'y,0:5 -i El101 DATE ISSUED 815.91 *2'15,0.'0 �! PERMIT NO. TOTAL - AztAt f '1 /I • r_lot