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1980, 12-10 Permit: 80B-4738 DuplexIPLAN NUMBER j, R -47S 1-0I i_._ ���%o 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 • 1 O81 to -18 Nos a LQT BLO K SUBDIVISION 2. / OWNER 3. PAI ADDRESS &. FoltC. CONTRACTOR S 00101-C ADDRESS LEGAL DESCRIPTION — SEE ATTACHED (Y\'sc.tons "1?tP4e tgT PHONE G AT 9zzz� -za48 ZIP Fisarter 4q PARCEL NUMBER/S Actual Set Backs in Feet North fig (South East ZSi 2 West (' PHONE ZIP Size of Parcel rjo X 145. Occupancy Type Const. Zone Classification 11144L.rt Fnmlc-44 ❑Yes Sprinklered ❑No 0 Req'd. DESIGNER PHONE ADDRESS ZIP at Vatyion Building Area in Sq. Ft. f7.7I,0o8 80 Garage Area S? Main Floor l8za Upper Floors Storage CHANGE OF USE FROM 6. TO TYPE 7. OF WORK ElALT. 0 PLMB. ❑ AD N. ❑ MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL 0 OTHER Area of Decks `240 (J1k-',) No. Baths No. Stories 4 Finished Basement 11U4+- Un =in. Basement No. Rooms (04, No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not r3eq'd. DESCRIBE WORK B• -buR6>c VALUATION 977 se SOURCE OF UTILITIES GAQ,PL7Fs CAN DER GAS ELECTRIC . Enum. Dist. Location (Area) WATER SEWERy� Ii'f r!L Ownership Public ❑Private 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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS /L ^ DATE OF APPLICATION t 2 1� hi/ SIGNATURE OF APPLICANT SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Env. Health lanai Ofi !%o Fire Marshall Co. Engineer D Itle ytRPPl:i�,3%o rcRnftl 7 A°.entact Cannty Emil Plans Examiner SEPA Checklist uilding Technician REQUIRED" es Office PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building 344 'too Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL PERMIT NUMBER Sc;�4=0-7 58 02•* '*349.00 *349,00 N *349.006 *000 47358 12-110-80 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. l721.i:11(BIu iB!o1 47481'. 4,•;.3.4 F DATE ISSUED • PERMIT NO. TOTAL NOVO OV" 4Ve hU c So- t.),d ft, Lo -F 4- glocl< 1 mbscior ArI). 4,on L J62:080U IJ I\ a 0 r6 •u;s i b:' 42; I2 P3Z7 20'