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1980, 11-25 Permit: 80B-4168 Garage
PLAN NUMBEF g- 20E0 (0) 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 LOT 1/ ois- BLOCK RCESe Coui2 SUBDIVISION 3/i cJd Y Fir r 447 T/0 .N OWNER Al Jc,'1,V ct Fisica ADDRESS S I$" 6Srlf C'T CONTRACTOR S 40,6 - PHONE LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S 235.t/z-'?o76 Ply/ dF Z II PP 99e.Y Actual Set Backs in Feet North (South /0' East West 25i PHONE Size of Parcel e30 X /3© ADDRESS S'orne ZIP Type Const. '1-14 Occupancy Zone Classification Se//3I-I1;•5AM/ Sprinklered ❑Yes ❑No 0 Req'd. 5. DESIGNER PHONE Valu on Z,88o Building Area in Sq. Ft. 4/8 o ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK [Yr NEW 0 ALT. IVBLD. 0 PLMB. WAD N. 0 MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL 0 OTHER No. Baths No. Stories it No. Rooms i No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. ii/ DESCRIBE WORK 8. An-Alai/co ALUATION 9.6Z$ 880 6/4/2/ 46" GAS SOURCE OF UTILITIES Enum. Dist. Location (Area) ELECTRIC WATER SEWER ae T/c Ownership Public 0 Private Gei 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 DATE OF APPLICATION 0 SIGNATURE OF APPLICAN SPECIAL APPROVAL NAME DATE Env alth r1 - „e# Planning Fire Marshall Co. Engineer Utilities Plans Examiner 7�M fo`_s`CLUIh17 t1/44/ SEPA Checklist PECIAL CONDITIONS - Building Technician /f L ..�/. ry PERMIT IS NONTRANSFERABLE FEES COLLECTED Single Building Plumbing 438 00 Plan Check SEPA Mobile Home Other (Specify) TOTAL $.38-e F:v11T NUMBER &'B —4ALo8 1 t' 1 6 A c. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. ,111-.25-'8'0 41688 *.38.00? Rees Cr tea fn• 4144 c" 2bi Eit 7 �v [�