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1980, 11-20 Permit: 80B-4018 Residence PLAN NUMBER ,. NUMBER PERIVfiT u1/40/ APPLICATION/PERMIT i �/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT $�� � Basic Plan (" NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB iADDREer io ill, �8I4- 00 1. LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK SUBDIVISION PARCEL NUMBER/S r (; c V G 2. ©cel G7A09 T 0.-1,1 -2--39'4- — & OWNER �}� P ON * l �_; 3. ['OMLO`� b 5--[LrO-i. ,� -"� �' _ ADDRESS I2 ` ZI Actual Set✓✓Backs in Feet I - O 150›S I � -�� �°� North v (South East -Q !West I, 1 1 — 1 c'�- c CONTRACT R PHONE Size o Parc Zone CI ssification 't> e'4—) i2.q ��, ►� t 6 li r 4. ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. ' ' "?-- O O 5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage — ...._ CHANGE OF USE FROM TO 7BCrea of Decks Finished Basement Unfin Bement 6. No.B the No. Stories No. R oms No.�of Dwellings TYPE lid NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE. 1 7. OF ,�,/ ❑ OTHER WORK F2I BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not geq'd. of EXEMPTION DESCRIBE WORK Enum.Dist. I Location (Area) ' 8. Ir(.-• 1'01\C FEES COLLECTED VALUATION UR CEJ f��OFCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9. UTiLITIES ✓ 1-1e-+ 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 X02_ type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building 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 INSPECTIO , Plumbing DATE OF APPLICATION ii— SIGNATURE OF APPLICAN , Mech. SPECIAL APPROVALS S ECIAL CONDITIONS: NAME DATE COW( 0,G` (Ho "' M6— 1- �j - - -- 20 I +/Z_ I/7 ,...- /1//f �I 1 Plan Check Env. h l / I I D �"� F� F� / /1/ SEPA 2 Planning CD — w Fire Marshall Mobile Home J ,,_ Co. Engineer Other(Specify) Utilities .., Q° TOTAL $ 22.2 .. Plans Examiner SPA�Ch cklis't Lr THIS BECOMES A PERM TWHEN MACHINE TED IN THIS SPACE, • •'ng Tec. ician ,in PERMIT IS NONTRANSFERABLE 'I �. , f y�''oo p o 0 J I'. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED b 0�' PERMITNO.1 0 2 *2,0 2'O OO H 1 I' J 1 Q 001 0'001 \ '7'' � iL0i ' ,ih ,3h ' = t iSh 1 ,5), It . R }M, •`°Q°°°°ln og i ar.,,,.s a or a ed iii A kkJ)'�,67N t rvIT a71a A poi N'' ��, u7��I . �% tIS N I (/ __-wt..(L_IL1111 0,01/ K, pc i k I / N i // / . ( / , c.9°\ i I \ '.. a,Scl l <, a'CS >I