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1980, 09-26 Permit: 80B-988 Addition
/ 1 PLAN NU UMB APPLICATION/PERMIT NUMBER t eMIT ME _ c-4 j-z-liz few 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 LEGAL DESCRIPTION - SEE ATTACHED _12 * * (' C' �90 ,1. Z / / LOT BLOCK PARCEL NUMBER/S 15UBUIV151UN 2. I S' i o *E 2t,0 OWNER PHONE 3. "� O /— ADDRESS ZIP Actual Set Backs in Feet r 7 rn ,-il, ew<z 3 North Z ' South East 1.5 West �T CONTRACTOR PHONE Size of Parcel Zone Classification Q9-cE -80 ls4 E 13000 - c 4. ADDRESS ZIP Type Const. Occupancy Sprinklered r; Q 4f; 9. V ^N (Z3 ❑Yes ❑No El Req'd. DESIGNER PHONE Valuata Building Area in Sq. Ft. (o Z 2�Z 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _ Zoo- a..... CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement r �� '�• 6. 1 TYPE No. Baths No. Stories No. Rooms No. of Dwellings NEW ❑ ALT. (/AD'N. ❑ RPL. ❑ MVE. { { 7 ❑ OTHER ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION I I ✓ DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED 8 7o S Rc VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF 2t1© UTILITIES .5��%!G Public ❑Private Single $ 1 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 ' (oZ.Oc, Building 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 u ti co on or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO S Plumbing 4�jech. DATE OF APPLICATION SIGNATURE OF APPLICA SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. alt/ SEPA anning re Mar Co. Engineer Utilities Plans Examiner p� T DM 110STL9WhT-r SEPA Checklist Byi{dir Technician (J �l PERMIT IS NONTRANSFERABLE Mobile Home Other (Specify) TOTAL $62. oo WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. *62.00° - 1 .01