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1980, 07-02 Permit: 80-6614 ResidenceAPPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 1509) 4563675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. e /�l� 2/ / 7 re' /7!/6 LOr 2. 7 B OCK LEGAL DESCRIPTION - SEE ATTACHED SUBDIVISION So4TH 42,4 01 /MD, nobs, OWNER 3 M.ern wan Aber/As ADDRESS C. 75ro ,Seue.ccy 4. 5. CONTRACTOR ate ADDRESS Semis DESIGNER PHONE get • 0975 PARCEL NUMBER/S Z( S4/-2607 ZIP y9zcC PHONE Actual Set Backs in Feet North 77 r (South U3 Size o1 Parcel /37X//Z East 3/ (Wast .35 Zone Classification Sny¢ce rAntn,y ZIP Type Const. Occupancy Sorinklered ❑Ves ❑No 0 Req'd. PHONE Val Ion cp Building Area in Sq. Ft. /Jet/ ADDRESS ZIP Main Floor /ago Upper Floors Garage Area $89 Storage CHANGE OF USE FROM 6. TO Area of Decks / Finishhed Basement 7co tinfin. Basement TYPE 7. OF WORK tv NEW 0 ALT. M BLD. ❑ PLMB. • AD'N. ❑ MECH. o RPL. ❑ M.M. • MVE. ❑ POOL 0 OTHER No. Baths Z No. Stories 2Coe No. Rooms No. o1 Dwellings ./ CERTIFICATE of EXEMPTION Req'd. Re 'd. Not Req'd. 9 - DESCRIBE WORK 8 SrkSGE 1C9» 4y' ALUATION 9. SS,Soo "arsiocr SOURCE UTILITIES GAS E GAS ELECTRIC Enum. Dist. Location (Area) WATER *CFI! 56P7i c Ownership USE CODE Public ❑Private 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 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 DATE OF APPLICATION _ SIGNATURE OF APPCANT SPECIAL APPROVALS NAME DATE f //• e Planning Fire Marshal Co. Engineer Utilities Plans Examiner l•u f/ SEPA Check in echnician f, G 200 • SPECIAL CONDITIONS: g_. -151 /tpPIeovfn £ - 31- -i% AY TEW2y / 4/c 7 Oc, N62 PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Sngle S Building w0/r OGS Plumbing Mech. Plan Check SEPA Mobile Home Other (Specifyl TOTAL PERMIT NUMBER 80^ G6/9 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSUED 66142 *301000.1 - PERMIT NO. TOTAL 0