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1980, 07-01 Permit: 80-6536 Damper
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I SPOKANE COUNTY — BUILDIIiG CODES DEPARTMENT -80 J >653G NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 04 * * 7.00 JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED * 7.0 0 '6 1. //' ' LOT 1 BLOCK SUBDIVISION PARCEL NUMBER/S * 7 O O 2. OWNER PHONE B * 0,00 v 3. 1/ C)J11.1-5 /i©" ye_ -c`.a�z'—37153 ADDRESS _ ZIP Required Set Backs in Feet 6 5 3.5 2 f//i 17 rh 7 c* North (South East ionWest 0 7 O 1 _o C3 0 CONTRACTOR PHONE Size of Parcel Zone Classificat 4. A `4-in 62uAL.Hy if'iif `ma /iv k-( ( 'c)0 6479, ADDRESS / ZIP/ Type Const. Occupancy Sprinklered . 4;1J 7/t) )i)/.¢v)4 . �~7 1 0 ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. — ADDRESS ZIP DWL Area I Basement Area Garage Area I Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. « No. Baths No. Floors No. Rooms Rec. Room TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF ❑ OTHER Req'd. Recd. Not Req'd. WORK CI BLD. ❑ PLMB. MECH: CI M.H. CI POOL CERTIFICATE { of EXEMPTION DEScriLeE WO RK ', FEES COLLECTED 8. 4,0 E ret e4 th'LC--VC- VALUATION am VALUATION Source V GAS ELECTRIC WATER SEWER of 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 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 re lating construction or the performance of construction. Plumbing DATE 6— , 0 a� SIGNAT 1...— t Mech. 7 SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env.Health CC SEPA ca Planning — U w d Mobile Home rn Fire Marshall Z Co. Engineer Other (Specify) Utilities TOTAL $ �/ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. n 1 , ti ( O DATE OFFICIAL ' IJ - r J ): /. IJ ll.u. APPROVED FOR ISSUANCE -