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1980, 07-25 Permit 80-7660 Residence, Garage%/ Z5-/& C� APPLIrs1.ATION/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 E. /0 3; 7 LOT BLOCK SUBDIVISION 2. /7 / erez r "9442 Tic'N OWNER 3. G/51Z / i- 07''f 4. ADDRESS 0/Za "�.eRc7 ale CONT RACTOR SA ADDRESS SAjne PHONE Sze -eggs ZIP r 176i!y PHONE ZIP LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S 054s//-/6/ 7 Actual Set Backs in Feet North /8'' 'South 37 Size of Parcel sXzGT. Type Const. Occupancy East Ski (West .. Zone Classification SiwCy4E.r4/4 y Sprinklered Dyes ❑No ❑ Req'd. DESIGNER 5. ADDRSS PHONE ZIP Valuation yv6 Main Floor I Upper Floors /27Z 960 Building Area in Sq. Ft. Garage Area �ZS Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Area of Decks /Zo Finished Basemen Unfin. Basement �80 U NEW ❑ ALT. BLD. ❑ PLMB. ❑ AD N. ❑ MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER No. Baths Z No. Stories No. Rooms 7 No. of Dwellings / CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. V DESCRIBE WORK VAL" ATION SOURCEOF GAS ELECTRIC WATER 9. S�c!G UTILLITIE 8. S'A/i R'/9/1i •/ .�]e5: AE'�= li'NkA yE A7I.�F EIo SEWER S _sCte%/G Enum. Dist. I Location (Area) Ownership Public ❑ Private IYi USE CODE 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 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 R VERSE SIDE FOR REQUIRED INSPECTIONS .. .. DATE OF APPLICATION I I!."( 1 SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE e Planning Fire Marshall re) Co. Engineer Utilities Plans Examiner "TOM o'-,rg,r /z9J o SEPACheckliSt SPECIAL CONDITIONS: FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTA L $313,c6 PERMIT. VUMBE 7. 02* *313.'00 *31 3.00 N *31 3.006 E *000 8 765.9g 07-25,-80 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. Buildi Technician _i Odd 07 `2.50 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE HATE tCCI IFn PERMIT IS NONTRANSFERABLE 76'605 *313.00 DCDrtAIT run ThTAI �1 SW boon c�allonS r So' ra( 48� . 031-7 Fervf,+ Cir. Lo+ (-7 6(0C)< 2 z I ice. sof J�dldl,E+oma T N