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1980, 02-07 Permit: 80-966 DuplexPLAN NU BER 4t?D APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 D.FtSCRIBE WORK IFEES COLLECTED 8 VALU TION tource GAS ELECTRIC WATER SEWER 9. d d0 of Utilities 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 Qr locA1*v"atingruction or the performance of construction. DATE I -�Z V - 262 SIGNATURE SPECIAL APPROVALS DEPT. REQ'D. APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES Env. Health JOB ADDRESS / LEGAL DESCRIPTION - SEE ATTACHED Planning LOT BLOCK SU IVIS ON PARCEL NUMBER/S P©�'T_,��-.�.3 2. Ow,N ER PHONE ! , W _ Z 7` 3• ADDRESS ZIP Required Set Bac in F� t 34,/3 7 - 92/G �South-Tff NorthcT, East -a2' WestlO CO TRACTOR PHONE Size of Parcel / x/30 Zone Classification D.0 4. A RESS ZIP Type Const. Occupancy Sprinklered ,N I k-3 ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation 0 Building Area in Sq. Ft. x (! 0,9 5. ADDRESS ZIP OVAL Area Basement Area Garage Arei Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 11td tel 6. No. Bath No. Floors No. Ro9ms ARec. Room TYPE X NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF X ❑ OTHER ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. 1 BLD. WORK i of EXEMPTION /� D.FtSCRIBE WORK IFEES COLLECTED 8 VALU TION tource GAS ELECTRIC WATER SEWER 9. d d0 of Utilities 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 Qr locA1*v"atingruction or the performance of construction. DATE I -�Z V - 262 SIGNATURE SPECIAL APPROVALS DEPT. REQ'D. RECD. Env. Health / Planning Fire Marshall Co. Engineer �'' DSC ��.• / Z b i8d Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: U� &'CV &AC ff F lst� F�At- Iee�+D. DATE �' G OFFICIAL�,s,: APPROVED FOR ISS Single $ Building3I� Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) PERMIT NUMBER _ DATE �2* *31 6.00 31600 *31 6.00 B *O.Oc 96.56 02-07'-80 6.47 c. o TOTAL $s ff WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. A 0 2 - 0 .. 7= - B 0 ;) 6. 6 '' � 51. 6, 0 0 a �= TAX SEGREGATION APPLICATION FORM (Applicable to the division of one or more parcels of real property into two or more parcels under different ownerships, also applies to aggregation of parcels.) ADDRESS -- PHONE NUMBER C i�D ATE DELINQUENT _ t f TAXES l - PARCEL NO(S) __�- _� 1. Enter legal descriptions of all portions to be segregated. Also include legal description of portions remaining (use supplemental sheet if needed). • Il. Make drawing of entire properiy. Indicate approximate dimensions of all property lines. Indicate on which portions of property any buildings should remain. If a copy of a survey is available, please attach to this form. r III. This application is to be completed in its entirety before processing. NOTE: The approval of this application by the County Assessor or his appointee .shall not be construed as authorizing the division of lands for the purposes o% sale or subdivision in violation of RCW 58.17 (Plat and Subdivision Act). The taxpayer is hereby advised that no segregation will take place hitt! thrs orm,is compl�td. Applicant Signature �GV.XV vID THIS AREA FOR USE BY APPLICANT FOR LEGAL DESCRIPTIONS AND DRAWINGS. USE REVERSE SIDE IF NEEDED. Cf r i LN -10 N ---- - ----- z