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1980, 01-22 Permit: 80-0446 Remodel PI,.AN NUMBER APPLICATION/PERMIT PERMIT NUMBER I A SPOKANE COUNTY — BUILDING CODES DEPARTMENT 6C) - er)4-4 / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 02 * *32.,50 JOB ADDR SS 1. 2 I7. .r I rJoK-ri•} LEGAL DESCRIPTION — SEE ATTACHED * 3 2 5 0 vz LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2- Imo AVP1-11 /s�r3 - /gas 4G. 5g_ 2. 11�I1 NIA {+�9� I I /or z /3.t csr-s1 Z 'r1iz lSow /`700, ro ni P,4rr/' OIVIJ'ftF 'H '` ti PHONE©,n 7 ,Z£GotL1,=O r (got 3 Ur= /'. A-71 P Z5� 01 —22-80 3. ADDRESS ii�t) �LTp�� j"t Required Set Backs in Feet ! 6 47 9. -12-12-- rY`i ,i / �� North 50 'South S-46"..- East // Z-- 'West Z-' CONT,RACj..-gifi PHONE Size of Parcel Zone Classification i}-/1--! S 5-' X /4-/!? /-r.C - 4. ADDRESS ZIP Type Const. Occupancy Sprinklered Y R...,3 ❑Yes No ❑ Req'd. DESIGNER PHONE Valuation ` _ Building Area in Sq. Ft. c2/ZW-e, 64P 5. ADDRESS ZIP DWL Area I Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. No.Baths No. Floors No. Rooms Rec. Room TYPE ❑ NEW VALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF / ❑ OTHER - CERTIFICATE Req'd. Recd. Not Req'd. WORK E BLD. ❑ PLMB. ❑ MECH: Li M.H. Li POOL of EXEMPTION DESCRIBE woRK _,/ ' 5� ti� j/z FEES COLLECTED 8. 4ur ( ` I r� fes,tiF=Yc�,_, Ez �P /:---1. VALUATION Source - _ ELECTRIC WATER SEWER of 67(4 J�/40/-!" AI,' 5Ci / c_ Z3C>e90. cryo Utilities 9 Sin le $ 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 `>Zt 50 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. Plumbing de DATE /Z _l4/`2 5SIGNATURE "P..'c. `��s A• ' Mech. SPECIAL APPROVALS SPECIA ONDITIONS: DEPT. REQ'D. REC'D. 6,4L1--- , / Plan Check // 'S.e--end .�4. '{- Env.Hea�'th �.�r/ ^ &%Siri SEPA - cs cD Pla ngLu (j��LC,/�d� /J / PLAN( KW- Ca►�tFa�M �u N�i�t� occ�r�hlrol� �ir8 Mar all? �� , /! �� WImE1i-r5. Mobile Home z - Co. Engineer /L"` `5 ef._ /�,. ;Y,oy,.,( �;