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1980, 05-22 Permit: 80-4934 Remodel
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER 1 SPOKANE COUNTY — BUILDING CODES DEPARTMENT SD-- 61,51 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED 1. ' . iSCS`z \^It tact. Z 0 2 * * 9 2.0 0 i' - * 9200 LOT BLOCK SUBDIVISON PARCEL NUMBER/S 2. jO -2 '"CW,nl VIEW i4w►Enf®6rJ t�LeI-C OWNER PHONE * 9 2 Q Q a I O POec-M 9z4-')Cs7 - z%-z.5-44 ADDRESS ZIP Actual Set Backs in Feet E * Q 0 0 8 c-: . i`aO-?... V.I.1L13+..4 a_ jz p. North 'SouthEast (West 1 9 3. 2 g CONTRACTOR PHONE Size of Parcel Zone Classification Si `A0/Z:HW/ ps �t.rac,-St Z44-46(O 05-22-80 4. ADDRESS ZIP Type Const. Occupancy Sprinklered iZT 4 Lsb1CZi(=. S cou-INK.Ic ckat�o4 ❑Yes ❑No 0 Req'd. 2 6479. DESIGNER PHONE V luation Building Area in Sq. Ft. 5 VIZ Do®.E?d ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _ CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. No. Baths No. Stories No. Rooms No. of Dwellings TYPE 0 NEW VALT. 0 AD'N. 0 RPL. 0 MVE. 7. OF 0 OTHER WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION 1// DESCRIBE WORK Enum. Dist. I Location (Area) ' I 8 —Rcwicp6L -12.ec(0aivCF" FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE UTILLITIES Public ❑Private'67' I2�!?�• 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 �{Z°dCT 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 Plumbing C DATE OF APPLICATION 67; a'—`—cbt SIGNATURE OF APPLICANT Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: _ NAME DATE L-SCCN$E tZ3t<, Plan Check Env. Health •1 W o_ lNppw ` SEPA 0. Planning S4{40.,(CC 7...90 F r, Mobile Home 'U Fire Marshall APDMNGt t 3141 u.. Co. Engineer EC.(vv\,fV A?`VOc i -"6E'©20a M Other (Specify) Utilities TOTAL $ 92' 6C� Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. Bu/illdii Technician PERMIT IS NONTRANSFERABLE U f)''-' 2 .2 -8 0 4 9 3, 4 z° * 9 2, 0 0 a H / t'<' y. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL