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1980, 09-12 Permit: 80B-76 Residence
PLAN NUMBER 1 f,. APPLICATION/PERMIT FLRMIT NUMBER "?—if'-:1© 94Aa SPOKANE COUNTY — BUILDING CODES DEPARTMENT SOB- 7<,,, 0 / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 02 * * 21000 JOB ADDRESS ( / 7 /et"4r ( `: . < LEGAL DESCRIPTION — SEE ATTACHED * 2 1 0.0 0 17) LOT BLOCK SUBDIVISION PARCEL NUMBER/S /"77s/— r2/rL71/4„.-:r. ,/,/10E,i * 2 1 0. 0 0 8 2/O-1 .,,,i1 3 .,,,itea- - .�u l �uvT�s /icev. 10,-'i �x�- OWNER PHONE A * O.0 0 8 3. Tl�' .C.e- ' .c-c.t-a ` ' 4'--` 6- _�tgej -5/'4RK 0 . E 9 8 2 8 2 ADD SS ZIP Actual Set Backs in Feet of r .:-?L"'B e5 la Z'tett-e L:' `'a).i_^t1`/—o-:.,-t.t -� , .. / North ...`. 'South 1 East 'West//ti 0 9-0 9-8 0 CONTRACTOR PHONE Size of Parcel I Zone Classification y... , 1_�.et-4[1L,�- 2 6,4 7 9. 4. ADDRESS ZIP Type Const. Occupancy ' Sprinklered d , � Elves ❑No 1=1 Req'd. DESIGNEFZPHONE ation ' Building Area in Sq. Ft. 33USG g.78 5. 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 LXNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7. OF ❑ OTHER - WORK LiBLD. I=1PLMB. CIMECH. ElM.H. 1=1POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION r DESCRIBE WORK Enum, Dist. I Location (Area) t FEES COLLECTED 8. t I74 V LUATION E%(r SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE Public ❑Private 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 �f � 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. cSEE REVERSE SIDE FOR REQUIRED INSPECTIONS �I ��,t Plumbing DATE OF APPLICATION "7—e?—We-) SIGNATURE OF APPLICANT R/ �Ii� P/, - Mech. — SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health I/5 WIZ/RC) SEPA ate. Planning OU — w Fire Marshall Mobile Home Co. Engineer Other(Specify) Utilities - Ape: TOTAL $ .2J Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. Budin Technician; PERMIT IS NONTRANSFERABLE r0!94.11,2�'48('0 7,6 z *'210.0 '0 2, > '( -,/,1, !{t—�- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL -r• 4 Y,. ._ 111:1 1.. 1 M I .LAC. .> /7 9 - �", ik‘ -...1 a `fin ��- c.1) r t i i h.. G 1 r. r 1111 1