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1980, 07-15 Permit: 80-7141 ResidencePLAN NUMBER APPLICATION /PERMIT -Z_ -00 SPOKANE COUNTY - BUILDING CODES DEPARTMENT 79 �� •V NORTH 811 JEFFERSON / SPOKANE WASHINGTON 99260 / (509) 456-3675 DESCRIBE WORK Enum. Dist. Location (Area) ,,�." FEES COLLECTED 8. Cay si , s = �> %'C S' VALUATIO4UTILITIES SOURCE GAS ELECTRIC WA R SEWER Ownership USE CODE OF I' */z � (Z}" j1/ !f}- 3,�i7G Public ❑ Private Single $ 1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included/ aD on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building 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 perfor-mance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing r1ATF r1F APPI ICATinr\l 7A-)Af RI(;NATI IRF nF APPI IrANY Mech. PER BER -©_,7/ J 02* *28200 *28200 *282006 E *0,00 U 68&28 07-10-80 g 6.479, SPECIAL APPROVALS SPECIAL CONDITIONS: Plan Check NAME DATE �%�E= �✓ ~� ��� �✓ En e h• SEPA Pla vying � ����y�i Mobile Home L Fire Marshall ��� n /r.�..., .,�(.i7 L Co! Engineer � c�., /�..��cfG- Other (Specify) Utilities TOTAL $ we Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. B�y.*Idinfgg TeyghniciJ f PERMIT IS NONTRANSFERABLE C / f, 7 s - o'er AI f1Y17.[k_/ h DCRMrT FXPIRFc ftNF VFAR FRf1M I)ATF DF ISSUANCE f)ATF'I SSIII�� �+U PERMIT N�" z �TOT�AL F t'iL%b% APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS � LEGAL DESCRIPTION - SEE ATTACHED 1. �� / 7 LOT BLOCK SUBDIVISION PARCEL NUMBER/S 1 J-, t -/v S ADO OWNER PHONE O 9Z -'G 3 ADDRESS ZIP Actual Set Backs in Feet Pdii/f,411 lUv North L South � D East West CONTRACTOR PHONE Size of Parcel Zone Classification ADDRESS ZIP Type Const. Occupancy Sprinklered T S� ❑Yes RNo ❑ Req'd. DESIGNER PHONE Valuation i;j Building Area in Sq. Ft. 5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. 1 41-110 /OD No. Baths No. Stories No. Rooms No,, of Dwellings TYPE XNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. %yjr •7 7, OF �f BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL El OTHER CERTIFICATE Req'd. Recd. Not Req'd. WORK 1"� of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) ,,�." FEES COLLECTED 8. Cay si , s = �> %'C S' VALUATIO4UTILITIES SOURCE GAS ELECTRIC WA R SEWER Ownership USE CODE OF I' */z � (Z}" j1/ !f}- 3,�i7G Public ❑ Private Single $ 1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included/ aD on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building 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 perfor-mance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing r1ATF r1F APPI ICATinr\l 7A-)Af RI(;NATI IRF nF APPI IrANY Mech. PER BER -©_,7/ J 02* *28200 *28200 *282006 E *0,00 U 68&28 07-10-80 g 6.479, SPECIAL APPROVALS SPECIAL CONDITIONS: Plan Check NAME DATE �%�E= �✓ ~� ��� �✓ En e h• SEPA Pla vying � ����y�i Mobile Home L Fire Marshall ��� n /r.�..., .,�(.i7 L Co! Engineer � c�., /�..��cfG- Other (Specify) Utilities TOTAL $ we Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. B�y.*Idinfgg TeyghniciJ f PERMIT IS NONTRANSFERABLE C / f, 7 s - o'er AI f1Y17.[k_/ h DCRMrT FXPIRFc ftNF VFAR FRf1M I)ATF DF ISSUANCE f)ATF'I SSIII�� �+U PERMIT N�" z �TOT�AL F t'iL%b%