1980, 07-16 Permit: 80-7152 ResidencePLAN `rwalBE�: e
"- APPLICATION/ PERMIT
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SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
0 2 * * 2 6 9. 0 0
APPLICANT: COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS/
DD ESS/� �7�
LEGAL DESCRIPTION - SEE ATTACHED
1 ,
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* 26 9 C'() �^
LOT
I BLOCK
ISUBDIVISIONId
PARCEL NUMBER/S
% 2- — -3 V
* 26 9.0 0
OWNER
PHONE
6,11
e -12,j-.2
*
3. w c*
E 0.0 0
7 1 5 1
ADDRESS,//��
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ZIP
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Actual Set Backs in Feet
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PA
North South East West -2 G'
07-16-80
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NTRAOR
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Size Parcel
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Zone Classifica ion
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ic(Z /17
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c 6 47 9.
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
1
G ` /0 12-6 P ✓t T
C//ZC7
❑Yes 0N ❑ Req'd.
DESIGNAR 4
PHONE
Valuation �
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Building Area in Sq. Ft.
%DU
2v R
_
5.
ADDRESS
ZIP
Main Floor
UpperFloors
Garage Area
5zk
Storage
I.�
I2v('
5•() G
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
&,--
6.
l2',<10—
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
/
I No. R ms
No. of Dwellings
7, OF ❑ OTHER
BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
I Recd.
Not (2gWd.
WORK
of EXEMPTION
x
DES 16E WORK �/
8., n �� / f Sr �i�y� �(� `a 1 Pc+ 't C�fc'C l�ca
num. Dist. Location (Area)
FEES COLLECTED
VA//LUATION
SOURCE
GAS
ELEC RIC
WATER
SEWER
Ownership
USE CODE
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9^ 141��O
UTILITIES
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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 61 �j ac:
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 regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
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DATE OF APPLICATION A0Mech.SIGNATURE OF APPLICANT L
3n
Fe
SPECIAL APPROVALS
NAME DATE
w rte/,
neer
SPECIAL CONDITIONS:
144Y
ns Examiner
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IVB U l l! `t E'.i . z�-PcLe"—JG-
PA Checklis J'
i ech i n Z*90 PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA ar..
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Mobile Home w
J
Other (Specify)
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TOTAL $ 2 t
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
6'-90 ?-J. , Z 269.�C°�-
DATE ISSUED PERMIT NO. TOTAL
h
WEST VALLEY EXII-AVATING
S. 812 A.4 5� 3� 80
AD
140 g5
id 4"
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