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1980, 01-04 Permit: 80A-9785 Addition
PLAN NUMBER APPLICATION/PERMIT 0 PERMITNUMBER '85 SPOKANE COUNTY — BUILDING CODES DEPARTMENT Y�oG// NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 DATE ! _3- APPLICANT: `APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 2 * * 5 0.0 0 JOB ADDRESS 1. p I I V ..r14AND - LEGAL DESCRIPTION - SEE ATTACHED * 5 0, C}0 LOT BLOCK SUBDIVISION PARCEL�/ ] NUMBER/SpI� I 132,1- 5 j4--> 0g4I Cj G * 5 0.0 0 Y 2. OWNER 2 V / ` PHONE ` " - f/�fG.T V rYr 7�j I e.I✓U.:✓ E * 0 0 0 9 -IIS,97 L ADDRESSl '/ i �t /A��� ZIP q . Required Set Backs in Feet lCL I V l/V✓0 "� /O3 North (South �I'"- East 2- West I I 0 1 -0 2-8 0 CONTRACTOR PHONE Size of Parcel Zone Classification M � a. 75 -el-c f-� 6. M-1-c16 g 479, ADDRESS ZIP Type Const. Occupancy Sprinklered Oyes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5' ADDRESS ZIP AreaI Basement Area Garage Area Storage CHANGE OF USE FROM TO DWlit Entry Split Level Rancher 6. TYPE No. Baths No. Floors No. Rooms Rec. Room ❑ NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE. 7, OF / ❑ OTHER - CERTIFICATE Req'd. Rec'd. Not Req'd. WORK — BLD. ❑ PLMB. 0 MECH: ❑ M.H. ❑ POOL of EXEMPTION • DESCRIBE WORK 8 /A bb-ff off -r-c-, l _I I,, ' `1C I� X G FEES COLLECTED VALUA ION' r l SourcercGAS ELE )TRIC WATER SEWER 9, 51 of `/rKA �J I/� + 0©Q Utilities ,, V c — Single $ 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 5o • 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 DATE/12 — gdSIGNATURE .-4..1 ../ Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env. Health ArrrJf/ ri q" •"" ` ICIIeCn P �/ t SEPA Planning F'� N'i>all� U rt -.- LJj Mobile Home Fire Marshall = Co. Engineer Other(Specify) Utilities TOTAL $ • Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist / — - U THISCOM $AURMIT. ` ( b. 2 * UU,0 u -. DATE OFFICIAL4A4" G'�t-4 APPROVED FOR ISSUANCE - I/ (-1 1. 1, L v ) _ , - 1 - A 751 l 1.,: --- 44' I . , d . ... 2 0' 1 _ — — -- - 1 1 i . i Q/ kl I 10 I ., I •--! I i , , I 1 41 , -''' •f -------- •-....1 r I ,J I e'l a R 16/A/194 tNi '"=.7 I •-jr,, , I '-----T 0, 22' , 1 4, RA I ----1'' 1 , –.„ 1 H r).; th -- NI i rN i 1 1-. I 1 I/ 1 ---T------ --- 1 -4— 1 i , . , .,. V.6-1,01 rc- 6'1 -1mi I 1 , 201 I , t I 1 . .1 1 1 , : v i 1 . tv o ir 6i vs: 1 . ... . .