1980, 12-16 Permit: 80-6767 Inspect . �,
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NUMBER APPLICATION/PERMIT %
�13LCXs- SPOKANE COUNTY—BUILDING CODES DEPARTMENT (- C)-(dl(prl
NORTH 611 JEFFERSON/SPOKANE,WASHINGTON PPM/16001*66.3675 DATE Itn p[30- j
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APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS Ga. *700
I. L fI�4`3 ���� l/�'i LEGAL DESCRIPTION-SEE ATTACHED +700 5
LOI BLOCK SUBOIVf6O PARCEL NUMBER'S
2. •7008
OWNER-- kl PHONE
,. JD...R. -�lcv Gtr, •noo 8
ADDRESS iag BIP Required Sat
Backs Peat
676e,
33 I 0 rI
7633JIDrI , a. Louth 1pess 0
80smo7-08-9.
fParcel mneClassifica
4. on q t.Lt..,_,_�.0 �q4Zl�oa2`S647ADG .9 P.conn. G awagy Sprinkler.
Oyes 000RepoDESIGNER NEV Iuat on Building Aream Ft.
6' ADDRESS ZIP OWL Area Basement"MIS Garage Area storage
CHANGE OF USE FROM To split Ent.
6. r Split Level Rancher
TYPEEW, rl ALT. 0 AWN. 0 RPL. 0 SAVE.
No.Baths No.Floors No.Rooms Rec.Room
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T w0 ❑PlC
RK ❑elD. E1B. �MECH: ❑M.H. ❑Pool or
❑OTHER CERTIFICATE Rag a. Stec, Plot qaP e.
of EXEMPTION
DESCRIBE WORK 1',
a S IG w tAJFEES COLLECTED
VALUATION gOree AS ELECTRIC WATER SEWER
0. Utilities _
Single f
1 hereby certify that I have read and examined this application and have read the"NOTICE"provisions included
on verse side,and know the tame to be[rue and correct.All Ili uv inions of laws and oifinances governing this Building tick/ft
type of work will be complied with whether specified herein or t.The wanting of notpre
me
to give authority to violate or cancel the provisions of any other state or local law regulehn construction ortheparform/ance of construction.• f�
Plumbing --
DATE 6— 6 OU SIGNATURE_A)D to � 16Meek. `l SSD (�"?[(}
_.Rao'D. 0101AL OONOITIONs. --
.&777"'"'"'"="7"•""4- -�tl+. ?'a..
Env.RNRF Plan DRNk '�?�1
NannlM BEP* L'( '^
Pim Mwsnall Mobile Home r §ipl,
Ce.tnaMeN COW IEPNIt l '*'g r —�
DEISM! �L
tom C yranca—_ TOTAL $ +�