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1980, 02-21 Permit: 80-1390 Residence
PLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON /SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED LOTBLOCK 2. f� SUBDIVISION PARCEL NUMBER/S f'©�-��► J 33�9"L —?� OWNERI [ r 'UI PHO E 3. ADDRESS ZIP Required Set Backs in Feet �? North 40 South East West CON`T,RACTOR HONE Size of Parcel Zone CI sification 4. 78 x --5 MW;r ADDRESS ZIP Type Const. I Occupancy Sprinklered — �j ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valudti® Building Area in Sq. Ft. 5. ADDRESS ZIP DW55L A a Basement A a . Garage Area Storage N I►J-- `vel CHANGE OF USE FROM TO SPlit Entr lit Rancher 6. TYPE NEW ❑ALT. ❑ AD'N. El RPL. ❑ MVE. No. Baths No, doors �� No. Rooms / _ �/ Rec. Room -' 7, OF ID]ry/ OTHER CERTIFICATE Req'd. Recd. Not Req'd. WORK li OLD. ❑ PLMB. ❑ MECH: ❑ M. H. ❑ POOL of EXEMPTION I 4 / DESCRIBE WORK FEES $, ri COLLECTED VALUATION Source GASLEC RIC WATER SEWER 9. of Utilities ✓ YOK /�c 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 Building type of work will be complied with whether specified herein or not. The granting of a permi oe not presume to give authority to violate or cancel the provisions of any other state o I cal law regulatin constr ction or the performance of construction. Plumbing ` DATE 7,�_�V SIGNATURE Mech. SPECIAL APPROVALS DEPT. REQ'D. RECD. Env. Health Planning Fire Marshall Co. Engineer rUL) Utilities Zone Clearance SPECIAL CONDITIONS: r'4 e, K Plan Check 40ho ^fir\ . SEPA SEPA Checklist pLKW Afp90VW 1- y m DATE OFFICIAL: Q/&di/'��_ t" APPROVED FOR ISSUANCE Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER F0 - 13 0 DATE 2-2-1-3D 02 00 *C.ct`00 *28100 E *t 0r cCC' 138,9 02-21L80 z547c, WHEN MACHINE VALIDATED IN TH THIS BECOMES A PERMIT. ro v SPACE, I 0 h— CU W a. Z r -A - F) COG -If > E I I �3 1 "A" i