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1980, 09-18 Permit: 80B-429 DamperMBER APPLICATION/PERMIT P/ SPOKANE JEFFERSON COUNTY - BUILDING CODES DEPAR/ SPOKANE, WASHINGTON 99260 / (509) TMENT NORTH 811 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES B ADDRESS A LEGAL DESCRIPTION — SEE ATTACHED U NtK 3. ADDRESS 1 PHONE ZIP5T7-7-c?,j710— Actual Set Backs in Feet North South CONTRACTOR ONE Size of Parcel Zone Classification 4' ,gepDR1ESS Z' /v}/7��1 ✓ _ tZ�IP ! J �/ L Type Const. Occupancy Sprinklered []Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5' ADDRESS ZIP Main Floor Upper Floors Garage Area t Storage CHANGE OF USE FROM TO Area of Decks Finished Basement I Unfin. Basement 6. No. Baths No. Stories No. Rooms No. of Dwellings TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF ❑ OTHER ❑BLD. PLMB. �MECH. ElM.H. El CERTIFICATE Req'd. Recd. Not Req'd. WORK // of EXEMPTION DES IBE WO� Enum. Dist. I Location (Area) FEES COLLECTED 8. ALUATION SOURCE G S ELECTRIC WATER SEWER Ownership USE CODE 9, UTILOITIES Public ❑ Private ❑ 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 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 regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing � � -"tf7 Mech. DATE OF APPLICATION/ SIGNATURE OF APPLICAT**P SPECIAL APPROVALS SPECIAL CONDITIONS: Plan Check NAME DATE Env. Health SEPA Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist PERMIT IS NONTRANSFERABLE 61'1; ted- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Mobile Home Other (Specify) TOTA L $ _ PERMIT NUMBER 04* *7.00 *7,00 *7,00 A *0.00 42,8 09-18-80 ;_9 6,479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. o 0.x.:;.1,8 1 -1 81'0 4 2, 9 z DATE ISSUED PERMIT NO. *7.00COL � - TOTAL LU J