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1980, 09-19 Permit: 80B-520 Addition PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER #210: 9/ig/Yo SPOKANE COUNTY — BUILDING CODES DEPARTMENT i©,8-5''2,0 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HBO MAKE 3 COPIES JOB ADDRESS,[ ¢�� LEGAL DESCRIPTION - SEE ATTACHED 0 2 * * 7 4.0 0 LOT BLOCK SUBDIV SION PARCEL NUMBER/S * 7 4, 0 0 u) 2. 7 t p ?- - 14424 4r 4.,4'f/ . "tJ to .,LZ- i(.Ur 7 /3.41-K-3 * 7 4,0 0 OWNER 3. -�/f,°/�-( i $r 13� y Z3r-7L5/1 6 PPS//T j N1 Ty T`lR n''�'re,E -s i*4-Ti-s A * 0,0 0 8 AD47R9ES[S G� ZIP Actual Set Backs in Feet4: _fi'''t ..(0 iZ & i-/ / 'i- ub J ; qf,z// North 'South �1 Eat V +C�� � 5 1,9 cam' CONTRACTOR, � PHONE Size of Parcel j nqR,6'r• Z e Classification • , 0 9 " 1 9-8 0 741R S.—A £ d-1/c-d2 67-24—' 'V Z _Iva 1C1A..7' 'APP v 4' L RESS q,i 1 ZIP Type Type Const. Occupancy AAA-t& � c 6 4 7 9 2j / ,7d3 6.4' 7 ib.E-ItG�..-L1.G(. ''9'7 e,. � ❑Yes ❑No 0 Req'd. DESIGNER PHONE Valuation LI-‘) Building Area in Sq. Ft. elf 5. ADDRESS ZIP Main po Upper CFloors Garage�Ar a� f Storage _ ,-5".,2 6 .5-.2 d + — 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 ❑ ALT. ISI AD'N. 0 RPL. 0 MVE. 7, OF 0 OTHER WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'/ eq d. Rec'd. Not Req'd. of EXEMPTION k DE CRIBE KVO Enum.Dist. Location (Area) 1 7 , I FEES COLLECTED 8.( 44 ,� t , 1VALUAT N SOURCE GAS ELECTRIC WATER SEWEROwnership USE CODE G:t>Lc OF Public ❑Privatetit g, 0 7 8 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 7'S'� 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 t• DATE OF APPLICATION q—f "k 1 SIGNATURE OF APPLICANT x,%/ '4y Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: ME DATE / r���y� Plan Check Env. Healt - , ada/11,1-- J��� �1� �� "\.(�GZK�C. 0 SEPA Planning "( r--�� — ,;� Mobile Home u.1 Fire Marshall ii Co. Engineer Other(Specify)) , Utilities �,/ G„'4✓ TOTAL $ l'7" Plans Examiner -T pM � � 1 ��/y14Q WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. Bu ing7Tec, icier), PERMIT IS NONTRANSFERABLE a' ' Q C9 s,.i S.CI 52, Co= * 7 400o. 1_ Ah) ./ikd4J PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL