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HomeMy WebLinkAbout1980, 09-15 Permit: 80B-195 AdditionPLAN NUMBER APPLICANT: APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 1. JOB ADDRESS �. 8924 + y5Aes/Ae LEGAL DESCRIPTION - SEE ATTACHED LOT 2. /2 3 BLOCK P UBDIVISION r/ -/R, - r ii/vccEV thew SAN 4. 5. OWNER E 14J/4/2/3 ;BOG/6if6a PHONE 9z8 –zvvS. PARCEL NUMBER/S /7t5.3---3-)8 ' Z - ADDRESS . /89ey R/ve.eS,fl CONTRACTOR ri54 c ZIP 99o/<_ Actual Set Backs in Feet North 3c' � 'South 5 5 East West PHONE Size of Parcel 8iFSK Zone Classification 79c ` /3 uR0eir+ru ADDRESS S.9#41 DESIGNER ZIP Type Const. Occupancy Sprinklered Oyes ONO ❑ Req'd. PHONE Valuat$ 8 9©o Building Area in Sq. Ft. 991 ADDRESS ZIP Main Floor Upper Floors Garage Area qq4 Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement 7. TYPE OF Er NEW ❑ ALT. WORK ❑ BLD. 0 PLMB. Lf7 AD'N. 0 MECH. O RPL. O M.H. O MVE. O POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK 8. 4D0 / Ti oir/Q r /3.Qi9C'�j E L,VALUATION 9.7 f5;,q &co SOURCE OF UTILITIES GAS Enum. Dist. Location (Area) ELECTRIC WATER SEWER ` PT/C Ownership ,...,/ Public ❑ Private LS9 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 r � r' DATE OF APPLICATION �" — C SIGNATURE OF APPLICANT / V‘&-1 SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Fire Marshall Co. Engineer Utilities Plans Examiner l4M f057LEvArr.9 9/ SEPA Checklist Bi.µ;ATechn n eVe 7/8z - /C i( �t u GCC��.Lzr �ci 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 $ 4'0 vilT NUMBE:. 02* *74,00 *74.00 *74.006 A *000 0 19,42 09-15-80 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. rI"5'x'81 kt DATE' I SU D PERMIT NO.9. 5 A *74,00°H TOTAL -4 1,3 /2 EY/Sri/1>i ffocuse- i �ur 042. u P -ro pRoP6seo ,--5,9,gg4 To Re.s�-k-71h1� \ oNTsl1 ua�1-�.. M 131 soLry cog 0— c wrTµ ELS ecus - se'- CO3 69171 FARM 6 AG*, APPROVED AS NOTED B g. Code i)cpf. Datc by -c/ 1 5