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1980, 02-20 Permit App: 80-1331 Pole BldgPLAN 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 1. LOT 2.10 -by /7 K NJBQc N iN OWNER 3. . ;IS �tkC S PHONE qac -s.7/ LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S ! g 5—i 3 — G Yt/ 5. y�5 t/�2�s s' ca r/; 5 98 s'9 N. Af5g i o 7r/ sI . , r .206,87' DS1E r ADD3iS1/ C., �) D9—alA R/ACTOR 00 &E L 1A6—INC ESS CO ZIP DESIG ER 5' ADDRESS PHONE Required Set Backs in Feet North 30 f (South;S' [East 3o (West OWS Size of Parcel ©s r 414.5 ZIP Litr PHONE V a9ss X i8, s Type Const. ��Irll: Occupancy M —I Zone Classification AGK(cUL—t(,{ .AL Sprinklered ❑Yes No ❑ Req'd. Valuatio 1 Building Area/rin Sq. Ft. 591, ZIP DWL Area Basement Area Garage Area S74, Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 7. OF WORK NEW ❑ ALT. ❑ AD N. ❑ RPL. ❑ MVE. BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER No. Baths No. Floors CERTIFICATE of EXEMPTION 1 No. Rooms Rec. Room Req'd. Rec'd. Not Req'd. DESCRIBE WORK 8. 01E - VALUATION 9.4300D, CIO 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 Taws and ordinances governing this 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. i E ss1FEL 2 'X S44, Source AS ELEC RIC WATER of Utilities SEWER DATE 9-40-71 SIGNATURE 41141 C-67$ n DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE _)FF ICIA L 41-AnUYLVL-t -✓t APPRCVED FOR ISSUANCE FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) $ Al.)TOTAL $ .� PERMIT NUMBER DATE y=6-79 02* *50.00' *5000 *50,006 E *000 3584§ 09-07-79 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS Ct0 SA ERMIT. 02.-220 0 133,15 *50,00 _ OJ 0. F- INSPECTOR c.7; M $uves 9a S" 7/ 41,3/H Cr, as S, fr. s' ac N. .:19.5"; ss" of her /3 s yam': ' oT ^1. EX, THE E. -?DG, ,2 •,4 LL BLK• 17 Ce ed, :ea, e 2 tO ��, I/�L, 0-C P/ars, "M G, s 3 0. S po�t'.anle plat, iN 5,553- 4-/i' Id .n0 ,s' 4 Co, &w. 101,ws, 4, of