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1980, 12-10 Permit: 4741 DuplexPLAN NUMBER 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 JOB ADDRESS 1. E. 10`►14-I (c NoR_A LEGAL DESCRIPTION - SEE ATTACHED LOT • 2. 1 BLOCK SUBDIVISION 011S5tos'3 QC -a 71ADID171oyj 1.57 OWNER 3. G Aa'/ —P-071'3/4 ADDRESS e. tot24 FEa-sae-r D2. PHONE 4a8- -?48 PARCEL NUMBER/S Oct 543-t$ol ZIP giCtzcC Actual Set Backs In Feet North .213 "South East 1Z I West lbr 4. CONTRACTOR Sans PHONE Size of Parcel •a ADDRESS C. AMC ZIP Type Coo; t!j Occupancy Zone Classification ('1GLrt FAp14tc.V Sprinklered ❑Yes 0No 0 Req'd. 5. DESIGNER PHONE ADDRESS ZIP Valuatloqt t —1 ,oco& Main Floor 820 Buliding Area in Sq. Ft. I(o8o Upper Floors Garage Area T Storage CHANGE OF USE FROM 6. TO Area of Do ks '240(4" Finished Basement 1104 Dnfin. Basement TYPE 7. OF WORK NI'NEW 0 ALT. gBLD. 0 PLMB. 0 AD N. 0 RPL. 0 MVE. 0 MECH. 0 M.H. 0 POOL 0 OTHER NO. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE • of EXEMPTION Req'd. Recd. Not Req' d. DESCRIBE WORK 8. T La l?c.ax 6 P.a., VALUATION I.eos SOURCE OF UTILITIES GA ELECTRIC I WATER Enum. Dist. Location (Area) SEWER SE..FT' C Ownership �/ Public 0 Private n1 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. EE REVERSE SIDE FOR REQUIRED INSPECT! _S , DATE OF APPLICATION Z SPECIAL APPROVALS NAME DATE Env. Health k46i� /a,/,o Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist B tlm echnician IC 41 SIGNATURE OF APPLICANT SPECIAL CONDITIONS: P4MN e'N5< o /2/'7)79 By T crcccwa1r "APPROACH PERMIT REQUIRED" Contact County Engineer's Office 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 $ -no PERMIT NUMBER Off'- 4741 02* *349,00 *34900 N *349.00'6 A *0.00 8 473.2 12=1080 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 41411 *3!49.00 DATE ISSUED PERMIT NO. TOTAL 0- C.) UJ—J ,CPC VC"t'rrU I"? ‘-kci:SS\i‘i rcri yki q 0 0 8 0: Z 9 1:3 - 0 o0•01, 0 ld Ls SZ 1000 0 ii„ p4,C OL 4.) Q0 ti )Cad'9 0--ts .9/.21 -,0J- ,°S - • 'DA ij OACJI\I