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1980, 12-10 Permit: 80B-4740 Duplexc 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 E. log0.6-0Co LOT t OWNER C.2 fkg=4 ADDRESS E. toi2c. CONTRACTOR ADDRESS BLOCK Naze, LEGAL DESCRIPTION - SEE ATTACHED SUBDIVISION MbSStO,J RtcncaC UST 10 -re -1 PHONE Q Zt3-Zc1Q'$ PARCEL NUMBER/S 6gs4g-1802 freezer ZIP 614ZOC Actual Set Backs in Feet Becks North 3S 'South East 12— (West is PHONE Size of Parcel - Zone Classification 90 X- 165" IV1 t t T1 Ficumiev ZIP Type Const. Occupancy Sprinklered Dyes DNo 0 Req'd. 5. 6. DESIGNCCR PHONE ADDRESS CHANGE OF USE FROM ZIP Val t''11 iorn p 111008 Main Floor t Building Area in Sq. Ft. IroSo Upper Floors Garage Area 5-140 Storage TO Area of Decks 246 (u a, ) Finished Basement 1%04 Unfin. Basement 7. TYPE OF WORK ❑ ALT. D PLMB. D AD N. 0 RPL. 0 MVE. D MECH. 0 M.H. D POOL 0 OTHER No, Baths 49. No. Stories 1 CERTIFICATE of EXEMPTION No. Rooms T No. of Dwellings z. Req'd.if Rec'd. Not Req'd. DESCRIBE WORK 8. 'lbLAVC VALUATION 94tI0c S �o,YZAC�F5 L.(Wli bra. SOURCE OF UTILITIES GAS ELECTRIC Enum. Dist. I Location (Area) WATER Se -enc. Fen G Ownership ail USE CODE Public 0 Private 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. S E ' EVERSE SIDE FOR REQUIRED INSPECTIONS /^ ' e SIGNATURE OF APPLICANT S DATE OF APPLICATION SPECIAL APPROVALS NAME DATE Env. Health ♦/ Z /o Planning Fire Marsha Co. Engineer Utilities Plans Examiner SEPA Checklis Buildm• Techniclan SPECIAL CONDITIONS: Thv,u C Ee.Cao '47/79 ay }bs,Lsu.nJr, "APPRO11CIt 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 $ S4Ct�Oa PERMIT NUMBER 02* *349.00 *349,00 V) *349.006 A *000 8 473.32 12-10-80 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 21:,74;Uj 8,101 DATE ISSUED 47,40'Z',34900a°g - PERMIT NO. TOTAL . _e I V ! f' • :071 VC n 0 • 7 582:0800.5.`5 - 1o= .5 13-75 srj. f4. duplex f N C70 00 .21 1"- 20'