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1980, 07-25 Permit: 80-7633 Addition
PLAN NUMBER APPLICATION/PERMIT to PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT �, -- 762 3 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 6 * * al) U r JOB AODRESS //''� LEGAL DESCRIPTION — SEE ATTACHED * 8 0 0 1. \\ G�/ L�rS7`l� * 8.000 LOT BLOCK SUBDIV SION PARCEL NUMBER/S Z E * 000 PHONE 3. °" oVre /V1'3-B QMt,-S1 7 6 3.2 ADDRESSfq `1^� ZIP ) Required Set Backs in Feet 0 7—2 5-8 0 'Po. 69K Ly y4 , ,,,w,6 North 'South East 'West CONTRACTOR p� l PHONE Size of Parcel Zone Classification g 64 7 9. T u him_ — AA +It3 /�/rerA,5iA.4 '51s- 7$/?V 4. ADDRES/S/ ��/ �` ,/�� `' J ZIP�jj �/) Type Const. Occupancy Sprinklered / �7 L� adiele �C"v / /�©Q Dyes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP DWL Area 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 ❑ ALT. y4D'N. ❑ RPL. ❑ MVE. 7, OF �/ ❑ OTHER - WORK ❑ BLD. I�(PLMB. ❑ MECH: ElM.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. ` of EXEMPTION DEscRle w/©� > 0�� /1�/4-�," 2 SI-, ��242--c-- FEES COLLECTED 7 8. lae., r ALUATION Source GAS ELECTRIC WATER SEWER of 9. utilities 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 type of work will be complied with whether specified herein or not. The granting of a permit does not presume e0 to give authority to violate or cancel the provisions of any other state or local I regulating const,.ction or the performance of construction. / Plumbing L/9 'i DATE -o�S _ SIGNATURE Mech. MMIIIMMIMMMMMMIK SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env.Health ,- SEPA cp y Planning — 0 Mobile Home Fire Marshall –_ Other (Specify) t gb Co. Engineer p v) Utilities (9© TOTAL $ ) Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS�F.,CO 1 A MIT. 1^ '' ; C rj * �' n i 1_` J� n DAT � OF ARP'', I OR ISSI1ANCE —