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1980, 10-27 Permit: 80B-2716 SidingNUMBER / 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. Z --q31"5 Sha/-)PO/7LEGAL DESCRIPTION —SEE ATTACHED OW R 3. AD2 -V7) E , 7 ) CONTR RACT 4 L PHONE 539 ZIP Q1R Actual Set Backs in Feet J©1 / a North South PHONE Size of Parcel ag-4& ne ADDRESS ^ Z1p/)� ((LL��7 Type Const. Occupancy Sprinklered 3/0(",IJ /[J�l„ 1 --lyes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor Upper Floors Garage Area F7Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. No. Baths No. Stories No. Rooms No. of Dwellings TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. El %, OF X;T CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION DESCRIBE WORK j riit� Enum. Dist. Location (Area) FEES COLLECTED 8 / i<1�r7 //VALUUATIION SOURCE GAS ELECTRICT WATER SEWER Ownership USE CODE 9.01!/ /3,CO UTILOITIES Public El Private ❑ �J Single $0" 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 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 regulating construction or th performance of construction. SEE, REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing / Ito- to Mech. DATE OF APPLICATION SIGNATURE OF APPLICANT SPECIAL APPROVALS I SPECIAL CONDITIONS: NAME DATE a Env. Health Planning Fire Marshall Co. Engineer Utilities ns Examiner uiltli Technic' PERMIT IS NONTRANSFERABI Plan Check SEPA Mobile Home Other (Specify) TOTAL $ ,0O PERMIT NUMBER ,�S>o13 - ,-7 1�' 2* *6200 L� L 0 0 3 *6200Y f1 * r) r 0 271. 10-27-80 r 6,479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 2 71.6 :*62.0.04