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1980, 07-10 Permit: 80-6907 Addition
PLAN NUMBER -- Y APPLICATION/PERMIT PERN:IT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT g6 '&4D 7 '1/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES – PRESS HARD TO MAKE 3 COPIES • JOB ADDRESS 02 * * 5000 1. /Y. �o/�j (//57:0? LEGAL DESCRIPTION – SEE ATTACHED * r(: 00 LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 50006 2. (, "Z r IMeLE y AAD/fcr✓ OWNER PHONE F * C 00 ED, 3. A llq 1/409,09 3/rK/-61er0 92e/-130c) 0 75 -0354V ADDRESS / ZIP Actual Set Backs in Feet n 9 0 6 g ,409, 20/,./ v'/57 glze, North I1 'South 30' East 'West , G 7_ 1 0!,- 8 0 CONTRACTOR PHONE Size of Parcel Zone Classification ,it/d3 61,1J^tact c rioAE/ 4146-270 9 Nisi(ee.fl g 6 4 7 S 4. ADDRESS ZIP Type Const. Occupancy Sprinklered A r). &0)1( 71410 99z:3 ? ❑Yes ❑No 0 Req'd. DESIGNER PHONE Valuatio Building Area in Sq. Ft. 'fog,3Zc::. Ma 5. ADDRESS ZIP Main Floor Upper Floors ( Garage Area Storage /460 I — CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. — VNEW No.Baths No. Stories No. Rooms No. of Dwellings TYPE ICI NEW ❑ ALT. IJ AD'N. 0 RPL. ❑ MVE. 1 / / 7. OF ❑ OTHER - WORK ❑ BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Notgeq'd. of EXEMPTION V ,t DESCRIBE WORK Enum. Dist. I Location (Area) FEES COLLECTED 8. Air)0/760N eat XrTc'ereiv/ To a-sive:Lee- VALUATION SOURCE GAS ELECTRIC WATER SEWER �/ OF Ownership USE CODE 9. 'T,3.0 UTILITIES Public 0 Private 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 S't)' o,0 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 If�t� Plumbing DATE OF APPLICATION 3—30 SIGNATURE OF APPLICANT ./' Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE .�01�S d„Ale-NEW Plan Check Env. alth _i/C71 > �� r! SEPA ami Planning -.D Fire Marshall Mobile Home J 1_ Co. Engineer Other (Specify) Utilities TOTAL $ 50°00 fans a ' er rte– =' WHEN MACHINE VALIDATED IN THIS SPACE, E A Checklist IrI p 6°1\10 1110�(� THIS BECOMES A PERMIT. Buildingc ciajn PERMIT IS NONTRANSFERABLE 7-1'0.`_ '�. ('1� 7 * S n (1 a F� �7 /�/Bd PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL Nozi rY.49N9D CLW ® - i.65L © #• p y -I S i f '! A 9> 3.P4O-V9 nc mr/ -9/V/JC/X3' y 1� NQS-i'Xit/ lA aT ( �i( X21 ti 9g