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1980, 10-14 Permit P80B-1973 Soft Water
PLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT PERMIT NUMBER ©. -/923 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. e, //007 'LOT BLOCK 'SUB IVISIO 2. O NER 3. fr1*Xi 1/41j,G►/G ADDRESS e ; i/ O t' 7 jejXi. ,eket,— CONTRACTOR JO t 4' ADD ESS �� J . 2-� 54,44 aIG J2.Q4rL DESIGNER 5' ADDRESS PHONE ZIP yy2c PHONE ZIP cfgx—e .2 PHONE LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S Actual Set Backs in Feet North 'South Size of Parcel Type Const. Valuation Occupancy East (West Zone Classification Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement 7. TYPE OF WORK ❑ NEW ❑ BLD. 0 ALT. PLMB. ❑ AD'N. ❑ MECH. ❑ RPL. ❑ M.H. DSCRIBE WORK 8. V -SOURCE PG , .-'^'�,y/j) VAL ATION SOURCE GAS ELECTRIC OF 9. UTILITIES ❑ MVE. ❑ POOL WATER 0 OTHER SEWER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Enum. Dist. I Location (Area) Ownership Public ❑ Private ❑ USE CODE Req'd. 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 REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION / 0 — 4--•?o' SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SPECIAL CONDITIONS: Rec'd. Not Req'd. FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL i— $3 *300 *3.00 N /t *3.006 A *0.00 8 197,22 10-14-80 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. B ding Te hnicif n PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE n OTP IC_ I IFn 1 197,3.z nCCIAAIT fslfl *31001-- Trl, A I