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1980, 06-02 Permit: 80-5200 Addition
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER �— SPOKANE COUNTY — BUILDING CODES DEPARTMENT' NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 0 2 * * 8 0 0 0 1. r—, 1 -,G-Tu LEGAL DESCRIPTION - SEE ATTACHED 1Z 04 * cg 0. 0 0 u� LOT BLOCK UBDIVISION PARCEL NUMBER/S 2. `i 10 Sy,4 q ievi Ac(z A-tD iTko N * 8 0 0 0 cYi OWNER PHONE E *0.00 3. , k. CiA q2 -sciSI Z S44— 00 ADDRESS ZIP Actual Set Backs in Feet 5051 �n E- 0o4- z-GT1 lci?-0(o North G4: South a -Z East aZ� West 10' CONTRACTOR PHONE Size of Parcel Zone Classification 05-28-80 a. 30 NJpo (o6-4IZ.$ 9v x Iso �- Su u�t ►� 6, 4 7 9. ADDRESS ZIP Sprinklered 7�7��Occupancy 1 – 01'A0zGo ❑Yes [:]No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. G s�4 •` 3gGt ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _ Ct % I -- — — CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. ----- --- TYPE / No. Baths No. Stories No. Rooms No. of Dwellings LJ NEW 1:1ALT. ❑ AD -N. El RPL. ElMVE. �– — I 1 7, OF�,( 11OTHER 1 WORK u BLD,,, ElPLMB. ❑ MECH. 11M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. of EXEMPTION v DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED 8. N-ts- 1"EkOh=N 'Tu -RGs\OcNCt •, FA-RoCn•%, VALUATION SCGURCE GAS ELECTRIC WATER SEWER Ownership USE CODE /� 9.g504,00 UTILITIES TiL Public ❑Private 61 I Single $ 1 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 Building to give authority to violate or cancel the provisions of any other state or local law regula ing constr tion or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing 71 DATE OF APPLICATION SIGNATURE OF APPLI Mech. SPECIAL APPROVALS NAME DATE Je,30th vianning Fire Marshall Co. Engineer Utilities Plans Examiner -.... - ..T , /-. /,. SPECIAL CONDITIONS: MA(L. 1C'> CANT(Zw.c?©fes Bun/ild-�in echnician PERMIT IS NONTRANSFERABLE `--"`7�2 y PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA } o_ CD Mobile Home U- Other (Specify) TOTAL $ 8© -co WHEN MACHINE VALIDATED IN THI THIS BECOMES A PERMIT. ACE, 0 6 -0 2 -80 `,20.0 *80.0G°1--' - DATE ISSUED PERMIT NO. TOTAL N w 2 G -T+A