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1980, 06-17 Permit: 80-5884 ResidencePLAN,NUMB7 ER / G APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS 1. S. 14,15 - SUBDIVISION ''// /) % ltt� �CaYI� LOT BLOCI 2. 1 '2— I i OWNER 3. " 2'` -Z 9:, Zai ADDRESS '-":—. 101ZI ZIP CONTRACTOR S2 $ 'F� a.12C, � "b>'� 4. Ur North I-1 South —750'4 /' East s West ADDRESS , PHONE �]�'-1�y� r- 10la6 one Classification DESIGNER APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 1'Y1 Ge+ r k Dr. LEGAL DESCRIPTION — SEE ATTACHED SUBDIVISION ''// /) % ltt� �CaYI� PARCEL NUMBER/S 5. /`/t9dl+i(a 2o544-s'� i Basement Area HONE t�T -Z 9:, Zai ✓✓ ZIP Required Set Backs in Feet S2 $ 'F� a.12C, � "b>'� —` Ur North I-1 South —750'4 /' East s West PHONE �]�'-1�y� Size of Parcel one Classification 6. ysG-t�c�a L J� ZIP Ci:1& Type const. Occupancy Sprinklered —Y Z r ✓ f• !�t:)�:G1" Q f- l No. Floors No. Rooms ❑Yes ANo ❑ Req'd. ], PHONE Vguation dj Building Area in Sq. Ft. WORK of EXEMPTION D SCRIBE WORK /J 8' i G A rr + ' S e ✓� C �: C 4t Yt• .e- — de C k C$ c+ t I, eCf' FEES COLLECTED ZON SourceofGAS EL TRIC WATER SEWER Utilities Single $ 1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included CO 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 Plumbing performance of construction. DATE �P/ l_�� SIGNATURE 52±'t'1 1``�► Mech. PERMIT NUMBER DATE SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. - ` Plan Check Env. Health ! 144 /::)E C.1<— �Z SEPA Planning Fire Marshall Mobile Home C T ng ee /0 _ _ C ,/7(ry�0 PA ' Other (Specify) Utilities I TOTAL $ 2•� Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, a�EPA Checklist THIS .0 APE MIT. nnTF 6-/7 n�FirinifGli/brii i L U, r •-- �. I— M6>1c;�. 1 V -Z 5. ADDRESSZIP DWL Area Basement Area -C>0 Garage Area Storage ©o �5 a® S2 $ CHANGE OF USE FROM TO SplitEptry V. Split Level Rancher 6. - ---__ TYPE $NEW ElALT. ElAD'N. ElRPL. 1:1MVE. No. Baths No. Floors No. Rooms Rec. Room _—. ], OF ❑OTHER 4BLD ElPLMB E]MECH; El H 11 POOL CERTIFICATE Req'd. Recd. Not.Req'd. WORK of EXEMPTION D SCRIBE WORK /J 8' i G A rr + ' S e ✓� C �: C 4t Yt• .e- — de C k C$ c+ t I, eCf' FEES COLLECTED ZON SourceofGAS EL TRIC WATER SEWER Utilities Single $ 1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included CO 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 Plumbing performance of construction. DATE �P/ l_�� SIGNATURE 52±'t'1 1``�► Mech. PERMIT NUMBER DATE SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. - ` Plan Check Env. Health ! 144 /::)E C.1<— �Z SEPA Planning Fire Marshall Mobile Home C T ng ee /0 _ _ C ,/7(ry�0 PA ' Other (Specify) Utilities I TOTAL $ 2•� Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, a�EPA Checklist THIS .0 APE MIT. nnTF 6-/7 n�FirinifGli/brii i L U, r •-- �. I— ROTH DEVELOPMENT ANO CQNSTRUCTION CO.. INC. E. 10126 FERRET DR. SPOKANE, WA 992106 92 8- � 9,18 12' (ooa gallon fank F 17' Lot 12 Mica Park ,4dd,+)on 40 Nouse 4 0' 12 5' Watcr�in¢ DrtvtW�y 9 7" MICA PARK DRIVE aN