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1980, 04-02 Permit: 80-3015 AdditionPLAN NUMBER } 2—fie JOB ADDRESS ,.1010 I LT . BLOCK 2. OWNER 3. ADD ESS . 11& 0 CONTRACTOR. 4. ADDRESS DESIGNER 5. ADDRESS 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 SUV LEGAL DESCRIPTION — SEE ATTACHED SUBDIVISION PARCEL NUMBER/S PHON - — '" V A r;� 8 / Actual Set Backs in Feet North South Jr East 30 West PHONE Size of Parcel 1z;%assificat')ni V- -,- 3�e-Ic <� - ZIP Type Const. Occupancy Sprirfklered ❑Yes ❑No ❑ Req'd. PHONE Valuation/O t O� Building Area in Sq. Ft. ZIP Main Floor Upper Floors I Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement s. TYPE,�,/,r No. Baths No. Stories No. Rooms No. of Dwellings ❑ NEW ❑ALT. Ild AD'N. El RPL. ❑ MVE. 7 OF WORK CI BLD. 1:1PLMB. ❑ MECH. ElM.H. 1:1 POOL 11 OTHER CERTIFICATE Req'd. I Rec'd. Not Req'd. of EXEMPTION DESCRIBE WOR + I I Enum. Dist. Location (Area) 8. G'N �{�� I 6 X I� 6 FEES COLLECTED VALU ION SOURCEOwnership GAS ELECTRIC RIC TER SEWER USE CODE 9. I 00(o OF I UTILITIES Public ❑Private ❑ Single $ I hereb certify that I have read and exami ed 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 Building 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 Plumbing DATE OF APPLICATION 3 -2 / - 942 SIGNATURE OF APPLICANT%� be�� I Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE tai ,/Lr-l�7�1C� Plan Check Env, alth I � Vn �l SEPA PI nning Fire Marshall Mobile Home Engineer Utilities Pians Examiner TOM P®S'T-F=0AlT SEPA Checklist Other (Specify) PERMIT NUMBER 02* *80,00 *8000 *80,001 E *0.00 301.49 04-02-80 6,479. TOTAL $80-00 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. niciaRI PERMIT IS NONTRANSFERABLE I 4— Q 2'- 0 110 1. 5 �� 8 0. 0 0 d l- ---.P L --)-T- f �3uq"� 3 tjk5pI+laj