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1980, 12-10 Permit: 80B-4739 Duplex
PLAN NUMBER R- 73- 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 t. E.IUeta-1z Ncsi� LOT BLOCK SUBDIVISION 2. 3 i LEGAL DESCRIPTION — SEE ATTACHED !IA tssit, '+ %OC,t isr OWNER ADDRESS E • LCMZCo F•5a-er PHONE o1Z8—a14& PARCEL NUMBER/S 69 Wiz/ ZIP Actual Set Backs in Feet North S..S (South East 25 'West 1 c(• 4. CONTRACTOR amY. ADDRESS PHONE Size of Parcel K ISS ZIP Type Const. Occupancy Zone Classification �t71L4LTt FAmlcy Sprinklered ❑Yes ❑No ❑ Req'd. 5. DESIGNER PHONE ADDRESS ZIP Val tion Main1Floor Upper Floors 1 82 Building Area in Sq. Ft. - 16Ro Garage Area 574 Storage CHANGE OF USE FROM 6. TO Area of Decks zoo(J ✓) Finished B tt off' aseme nt Unfin. Basement TYPE 7. OF WORK C9/ NEW 0 ALT. ❑ AD N. CJ BLD. ❑ PLMB. 0 MECH. ❑ RPL. o M.H. ❑ MVE. ❑ POOL 0 OTHER No. Baths No. Stories CERTIFICATE of EXEMPTION No. Rooms (•o No. of Dwellings Req'tl. 1 Rec'd. Not Req'd. DESCRIBE WORK 8S1)14731.4-$ VALUATION 9 la 608 Enum. Dist. Ciecrceirces LANb Location (Area) SOURCE OF UTILITIES GAS ELECTRIC WATER SEWER SePrtc. Ownership riyi USE CODE Public ❑ 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. SEE REVERSE(SIDE FOR REQUIRED INSPECTIOONS DATE OF APPLICATION 12" ©a V SIGNATURE OF APPLICANT w' (Z 4 SP€CIAL APPROVALS SPECIAL CONDITIONS: NAME- DATE Env. Health Plan•aing Fire Marsha Co. Enginee U i Plans Examiner SEPA Check! APPROACH PE MIT REQUIRED" Rli1P.Srs Office uildin• Te h i clan PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building * 4q.m° Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL PERMIT NUMBER - 02'* *349.00 *349.00. N *349.006 A *Q00 47342 12=10-80 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. •'1l21,,tlifi'>'8 101 4.7,3:9 a! -*3,4 9.0 0 a - DATE ISSUED PERMIT NO. TOTAL VCr.L1 E CJr • l C to era .00 �0+ 3 [,lock SS )r r1 yr /.1, v e/.I 14' vt I 562408:0057 ciAc,PpvrS;r.\ ale -+ 5 P ?As -7 ( =20