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1980, 08-28 Permit App: 80-9383 Addition
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 3 COPIES JOB ADDRESS RLAo'C;�'` LEGAL DESCRIPTION - SEE ATTACHED LOT BLO SUBDIVISION PARCEL NUMBER/S 2. /C) I Z I /;/ vxi 3.�w�eS O NER r' 1y co` a ;ize of Parcel ADDRES (a ' /,55G5 kME T Const. CONTRACTOR Sprinklered I 4. ADDRESS /alua n _ S km r-- may. ©�1 DE IGNER T&VrleS -?I- �[►�o� 5. Upper Floors Garage Area ADD�RESS wiE CHANGE OF USE FROM 6. TYPE NEW 7, OF WORK ❑ BLD. ,--5,r/-,.4 7ES 4✓0. TO ❑ ALT. >�11AD'N. ❑ RPL. ❑ PLMB. ❑ MECH. ❑ M. H. PHONE ZIP 1:� 20( PHONE ZIP PHONE ZIP ❑ MVE. El OTHER ❑ POOL C�q4ly Z — 13/0 Actual Set Backs in Feet Jorth South Fri East 3y1 West .Sz' ;ize of Parcel Zone Classification (a ' /,55G5 5111 = /" ,/%9/C T Const. O pancy Sprinklered I ❑Yes ❑No ❑ Req'd. /alua n Building Area in Sq. Ft. may. ©�1 Z06 Main loor Upper Floors Garage Area Storage Area of Decks Finished Basement Unfin. Basement No. Baths No. Stories No. Rooms N foo Dwellings INot CERTIFICATE' Req d. Recd. F}eq'd. of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED , VALUATION SOURCE GAS ELECTRIC WATER SEWER OF Ownership USE CODE X o0 OF ScPTlC: Public ❑Private 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 )P,5p pG 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 ^ n n O Plumbing DATE OF APPLICATION— `\] SPECIAL APPROVALS NAME DATE Env. I zg Planning Fire Marshall Engineer PI ns Exarpiner SEPA Checklist —� Buil in echnician L S�Z SIGNATURE OF APPLICAN CIAL CONDITIONS: ?4,Q 7-,'C,4ez V s�v�wSITi��i�� PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Mech. Plan Check PERIT NUMBER x,z) — �7-1 V,-5 02* *5000 *5000 *50000" E *OCO COO 927.22 08-28-'80 6,479. SEPA Mobile Home L Other (Specify) TOTAL $ S0' WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. �g938.3z DATE ISSUED PERMIT NO. +�50.0i0 0�- TOTAL N on/ EXis7mUc, #06, se